Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.13 / $1,349.83 / $2,994.23	Professional		$981.13	$1,349.83	$2,994.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,005.11 / $35,057.57 / $71,345.31	Facility		$10,005.11	$35,057.57	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.33 / $2,416.62 / $9,318.75	Professional		$1,519.33	$2,416.62	$9,318.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $15,711.66	Facility		$883.20	$1,075.31	$15,711.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.38 / $1,903.60 / $3,225.37	Professional		$1,104.38	$1,903.60	$3,225.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,134.91 / $2,287.44 / $12,593.29	Facility		$1,134.91	$2,287.44	$12,593.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.51 / $2,204.00 / $11,864.63	Professional		$1,017.51	$2,204.00	$11,864.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $626.67 / $2,059.03	Professional		$116.28	$626.67	$2,059.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,491.56 / $2,039.48 / $2,144.67	Facility		$1,491.56	$2,039.48	$2,144.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,423.78 / $1,462.86 / $13,091.98	Facility		$1,423.78	$1,462.86	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,631.83 / $2,327.13 / $2,903.63	Professional		$1,631.83	$2,327.13	$2,903.63
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 $1,452.07 / $2,084.60 / $2,794.88	Professional		$1,452.07	$2,084.60	$2,794.88
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 $1,313.23 / $1,618.63 / $3,066.44	Professional		$1,313.23	$1,618.63	$3,066.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $890.87 / $890.87 / $1,150.27	Professional		$890.87	$890.87	$1,150.27