Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.96 / $10,122.46 / $20,680.40	Facility		$2,042.96	$10,122.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.67 / $1,412.58 / $3,111.11	Professional		$1,004.67	$1,412.58	$3,111.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,530.49 / $36,469.56 / $71,345.31	Facility		$1,530.49	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.37 / $2,557.46 / $9,750.75	Professional		$1,575.37	$2,557.46	$9,750.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $15,711.66	Facility		$714.97	$870.49	$15,711.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.48 / $1,991.95 / $3,379.20	Professional		$1,121.48	$1,991.95	$3,379.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,164.55 / $2,368.02 / $13,778.60	Facility		$1,164.55	$2,368.02	$13,778.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $2,284.46 / $11,864.63	Professional		$1,058.22	$2,284.46	$11,864.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $629.13 / $2,142.24	Professional		$153.69	$629.13	$2,142.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,563.21 / $2,115.86 / $2,243.83	Facility		$1,563.21	$2,115.86	$2,243.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.39 / $1,530.49 / $13,091.98	Facility		$1,485.39	$1,530.49	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,705.30 / $2,434.71 / $3,037.88	Professional		$1,705.30	$2,434.71	$3,037.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,514.90 / $2,178.46 / $2,920.72	Professional		$1,514.90	$2,178.46	$2,920.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.34 / $1,779.12 / $3,153.06	Professional		$1,334.34	$1,779.12	$3,153.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,209.05	Professional		$932.55	$932.55	$1,209.05