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 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.22 / $1,293.71 / $2,899.06	Professional		$960.22	$1,293.71	$2,899.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,913.50 / $38,781.51	Facility		$6,400.95	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.25 / $2,352.46 / $8,923.20	Professional		$1,442.25	$2,352.46	$8,923.20
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 $1,058.53 / $1,824.71 / $3,088.94	Professional		$1,058.53	$1,824.71	$3,088.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,085.42 / $2,223.19 / $7,292.72	Facility		$1,085.42	$2,223.19	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.79 / $2,136.39 / $6,279.70	Professional		$1,037.79	$2,136.39	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $614.49 / $2,007.68	Professional		$81.90	$614.49	$2,007.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,421.52 / $1,963.77 / $2,054.21	Facility		$1,421.52	$1,963.77	$2,054.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.34 / $1,401.16 / $6,526.97	Facility		$1,365.34	$1,401.16	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,564.52 / $2,230.36 / $2,781.17	Professional		$1,564.52	$2,230.36	$2,781.17
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 $1,392.47 / $1,999.16 / $2,679.60	Professional		$1,392.47	$1,999.16	$2,679.60
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 $1,201.71 / $1,656.86 / $2,939.96	Professional		$1,201.71	$1,656.86	$2,939.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $853.88 / $853.88 / $1,101.60	Professional		$853.88	$853.88	$1,101.60