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 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.98 / $1,359.92 / $2,796.48	Professional		$990.98	$1,359.92	$2,796.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,497.21 / $19,913.50 / $38,781.51	Facility		$8,497.21	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.16 / $2,469.84 / $9,375.08	Professional		$1,515.16	$2,469.84	$9,375.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.63 / $1,929.77 / $3,258.03	Professional		$1,056.63	$1,929.77	$3,258.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,052.39 / $2,150.23 / $7,292.72	Facility		$1,052.39	$2,150.23	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.09 / $2,068.42 / $6,279.70	Professional		$958.09	$2,068.42	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $615.45 / $2,075.53	Professional		$114.91	$615.45	$2,075.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,381.31 / $1,915.53 / $2,158.07	Facility		$1,381.31	$1,915.53	$2,158.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,442.35 / $1,472.00 / $8,497.21	Facility		$1,442.35	$1,472.00	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,647.95 / $2,356.16 / $2,921.77	Professional		$1,647.95	$2,356.16	$2,921.77
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 $1,471.01 / $2,095.19 / $2,789.39	Professional		$1,471.01	$2,095.19	$2,789.39
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 $1,230.83 / $1,641.06 / $3,002.51	Professional		$1,230.83	$1,641.06	$3,002.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $893.08 / $893.08 / $1,164.77	Professional		$893.08	$893.08	$1,164.77