Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.07 / $1,272.18 / $2,704.48	Professional		$943.07	$1,272.18	$2,704.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.31 / $2,304.31 / $8,772.08	Professional		$1,432.31	$2,304.31	$8,772.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $22,419.12	Facility		$883.20	$1,075.31	$22,419.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,793.78 / $3,036.95	Professional		$1,040.02	$1,793.78	$3,036.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,069.51 / $2,183.40 / $19,660.82	Facility		$1,069.51	$2,183.40	$19,660.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.58 / $2,099.46 / $16,929.75	Professional		$1,022.58	$2,099.46	$16,929.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $608.49 / $1,919.55	Professional		$81.90	$608.49	$1,919.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,403.85 / $1,918.88 / $2,019.38	Facility		$1,403.85	$1,918.88	$2,019.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,342.24 / $1,377.40 / $18,677.05	Facility		$1,342.24	$1,377.40	$18,677.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,537.80 / $2,192.62 / $2,734.00	Professional		$1,537.80	$2,192.62	$2,734.00
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 $1,368.91 / $1,965.12 / $2,633.84	Professional		$1,368.91	$1,965.12	$2,633.84
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 $1,209.18 / $1,646.14 / $2,889.73	Professional		$1,209.18	$1,646.14	$2,889.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.24 / $839.24 / $1,083.25	Professional		$839.24	$839.24	$1,083.25