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 $939.97 / $1,232.06 / $2,725.12	Professional		$939.97	$1,232.06	$2,725.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $20,273.81 / $38,781.51	Facility		$6,526.97	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.87 / $2,230.40 / $8,630.24	Professional		$1,386.87	$2,230.40	$8,630.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $13,195.46	Facility		$714.97	$870.49	$13,195.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.79 / $1,736.67 / $2,940.97	Professional		$1,043.79	$1,736.67	$2,940.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,059.75 / $2,125.87 / $11,571.98	Facility		$1,059.75	$2,125.87	$11,571.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.79 / $2,040.92 / $9,964.52	Professional		$1,015.79	$2,040.92	$9,964.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $592.51 / $1,895.31	Professional		$81.09	$592.51	$1,895.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,401.54 / $1,855.23 / $1,955.06	Facility		$1,401.54	$1,855.23	$1,955.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.66 / $1,333.53 / $6,526.97	Facility		$1,299.66	$1,333.53	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,488.48 / $2,123.06 / $2,646.92	Professional		$1,488.48	$2,123.06	$2,646.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,325.48 / $1,901.71 / $2,549.36	Professional		$1,325.48	$1,901.71	$2,549.36
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 $1,165.59 / $1,614.71 / $2,756.15	Professional		$1,165.59	$1,614.71	$2,756.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.91 / $811.91 / $1,048.93	Professional		$811.91	$811.91	$1,048.93