Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.45 / $5,128.00 / $20,680.40	Facility		$1,697.45	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.17 / $1,173.28 / $2,590.50	Professional		$866.17	$1,173.28	$2,590.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $35,057.57 / $71,345.31	Facility		$11,500.00	$35,057.57	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.18 / $2,139.00 / $8,096.55	Professional		$1,308.18	$2,139.00	$8,096.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $15,711.66	Facility		$714.97	$870.49	$15,711.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.01 / $1,655.07 / $2,803.86	Professional		$955.01	$1,655.07	$2,803.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $982.63 / $2,005.85 / $13,778.60	Facility		$982.63	$2,005.85	$13,778.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.51 / $1,931.61 / $11,864.63	Professional		$939.51	$1,931.61	$11,864.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $586.21 / $1,820.66	Professional		$81.46	$586.21	$1,820.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,283.80 / $1,762.77 / $1,863.27	Facility		$1,283.80	$1,762.77	$1,863.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.69 / $1,270.92 / $13,091.98	Facility		$1,236.69	$1,270.92	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,418.09 / $2,021.79 / $2,522.65	Professional		$1,418.09	$2,021.79	$2,522.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,261.26 / $1,808.98 / $2,428.80	Professional		$1,261.26	$1,808.98	$2,428.80
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 $1,137.34 / $1,534.10 / $2,664.79	Professional		$1,137.34	$1,534.10	$2,664.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $773.82 / $773.82 / $1,000.89	Professional		$773.82	$773.82	$1,000.89