Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.95 / $4,500.00 / $18,711.00	Facility		$1,523.95	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $1,056.35 / $2,194.40	Professional		$688.12	$1,056.35	$2,194.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,056.41 / $38,781.51	Facility		$5,555.68	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.71 / $1,910.00 / $7,257.08	Professional		$1,172.71	$1,910.00	$7,257.08
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 $845.64 / $1,485.90 / $2,525.48	Professional		$845.64	$1,485.90	$2,525.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.28 / $1,704.47 / $6,675.67	Facility		$831.28	$1,704.47	$6,675.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.49 / $1,681.27 / $6,279.70	Professional		$779.49	$1,681.27	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $473.95 / $1,630.03	Professional		$78.81	$473.95	$1,630.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,124.52 / $1,555.07 / $1,670.31	Facility		$1,124.52	$1,555.07	$1,670.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.70 / $1,139.30 / $6,526.97	Facility		$1,101.70	$1,139.30	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,267.54 / $1,812.41 / $2,261.40	Professional		$1,267.54	$1,812.41	$2,261.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,123.58 / $1,621.65 / $2,170.96	Professional		$1,123.58	$1,621.65	$2,170.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.68 / $1,331.51 / $2,381.90	Professional		$979.68	$1,331.51	$2,381.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $694.86 / $694.86 / $910.41	Professional		$694.86	$694.86	$910.41