Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.44 / $5,128.00 / $20,680.40	Facility		$1,428.44	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.49 / $987.68 / $2,181.46	Professional		$739.49	$987.68	$2,181.46
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 $1,118.30 / $1,786.94 / $6,815.70	Professional		$1,118.30	$1,786.94	$6,815.70
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 $810.11 / $1,392.76 / $2,361.76	Professional		$810.11	$1,392.76	$2,361.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $838.23 / $1,689.78 / $7,292.72	Facility		$838.23	$1,689.78	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.45 / $1,633.92 / $6,279.70	Professional		$801.45	$1,633.92	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.90 / $1,484.20	Professional		$78.68	$399.90	$1,484.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,101.21 / $1,484.05 / $1,568.47	Facility		$1,101.21	$1,484.05	$1,568.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.73 / $1,069.83 / $6,526.97	Facility		$1,038.73	$1,069.83	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.53 / $1,701.91 / $2,123.52	Professional		$1,192.53	$1,701.91	$2,123.52
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 $1,059.36 / $1,522.77 / $2,042.48	Professional		$1,059.36	$1,522.77	$2,042.48
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 $956.32 / $1,265.07 / $2,204.94	Professional		$956.32	$1,265.07	$2,204.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $651.24 / $651.24 / $844.02	Professional		$651.24	$651.24	$844.02