Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.88 / $4,011.00 / $18,711.00	Facility		$1,022.88	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.64 / $997.86 / $2,201.39	Professional		$785.64	$997.86	$2,201.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.55 / $2,042.94 / $8,117.10	Professional		$1,229.55	$2,042.94	$8,117.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $1,522.86 / $2,849.83	Professional		$787.82	$1,522.86	$2,849.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $711.45 / $1,465.31 / $7,292.72	Facility		$711.45	$1,465.31	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.45 / $1,441.21 / $6,279.70	Professional		$711.45	$1,441.21	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $554.64 / $1,836.11	Professional		$116.13	$554.64	$1,836.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.10 / $1,521.42 / $1,868.63	Facility		$872.10	$1,521.42	$1,868.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,097.61 / $1,274.57 / $6,526.97	Facility		$1,097.61	$1,274.57	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.29 / $1,991.90 / $2,529.90	Professional		$1,375.29	$1,991.90	$2,529.90
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 $1,119.43 / $1,806.05 / $2,415.27	Professional		$1,119.43	$1,806.05	$2,415.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.12 / $1,288.09 / $2,661.90	Professional		$861.12	$1,288.09	$2,661.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $764.71 / $764.71 / $1,024.55	Professional		$764.71	$764.71	$1,024.55