Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,670.74 / $5,132.00 / $22,024.00	Facility		$1,670.74	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.00 / $1,155.04 / $2,546.79	Professional		$839.00	$1,155.04	$2,546.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,347.34 / $20,273.81 / $38,781.51	Facility		$8,347.34	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.58 / $2,105.31 / $7,971.30	Professional		$1,292.58	$2,105.31	$7,971.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $11,879.59	Facility		$1,005.16	$1,223.70	$11,879.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.88 / $1,629.02 / $2,760.85	Professional		$938.88	$1,629.02	$2,760.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $949.97 / $1,961.67 / $9,876.28	Facility		$949.97	$1,961.67	$9,876.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.65 / $1,869.77 / $8,970.86	Professional		$871.65	$1,869.77	$8,970.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $586.12 / $1,820.66	Professional		$81.46	$586.12	$1,820.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,253.40 / $1,733.29 / $1,834.46	Facility		$1,253.40	$1,733.29	$1,834.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,217.21 / $1,251.27 / $8,448.28	Facility		$1,217.21	$1,251.27	$8,448.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,395.48 / $1,990.53 / $2,483.64	Professional		$1,395.48	$1,990.53	$2,483.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,241.39 / $1,781.02 / $2,390.08	Professional		$1,241.39	$1,781.02	$2,390.08
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 $1,093.69 / $1,407.70 / $2,580.21	Professional		$1,093.69	$1,407.70	$2,580.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $761.67 / $761.67 / $985.49	Professional		$761.67	$761.67	$985.49