Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,546.15 / $5,128.00 / $21,917.86	Facility		$1,546.15	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.75 / $1,069.17 / $2,349.57	Professional		$775.75	$1,069.17	$2,349.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.99 / $1,933.80 / $7,376.25	Professional		$1,191.99	$1,933.80	$7,376.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.51 / $1,507.54 / $2,557.98	Professional		$866.51	$1,507.54	$2,557.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $853.90 / $1,740.75 / $7,292.72	Facility		$853.90	$1,740.75	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.14 / $1,721.36 / $6,279.70	Professional		$799.14	$1,721.36	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $438.42 / $1,646.04	Professional		$78.54	$438.42	$1,646.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,162.77 / $1,597.95 / $1,697.78	Facility		$1,162.77	$1,597.95	$1,697.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,123.89 / $1,158.04 / $6,526.97	Facility		$1,123.89	$1,158.04	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,290.15 / $1,842.22 / $2,298.59	Professional		$1,290.15	$1,842.22	$2,298.59
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 $1,146.22 / $1,648.32 / $2,209.67	Professional		$1,146.22	$1,648.32	$2,209.67
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 $1,007.58 / $1,369.38 / $2,424.38	Professional		$1,007.58	$1,369.38	$2,424.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.35 / $705.35 / $915.29	Professional		$705.35	$705.35	$915.29