Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.88 / $5,128.00 / $20,680.40	Facility		$1,461.88	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.59 / $1,010.90 / $2,242.98	Professional		$717.59	$1,010.90	$2,242.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.97 / $20,262.22 / $38,781.51	Facility		$1,094.97	$20,262.22	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.08 / $1,807.14 / $6,974.18	Professional		$1,127.08	$1,807.14	$6,974.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $12,136.45	Facility		$714.97	$870.49	$12,136.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.90 / $1,425.38 / $2,417.91	Professional		$788.90	$1,425.38	$2,417.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $835.80 / $1,702.17 / $10,643.26	Facility		$835.80	$1,702.17	$10,643.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.72 / $1,639.95 / $9,164.81	Professional		$759.72	$1,639.95	$9,164.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $438.42 / $1,622.99	Professional		$78.54	$438.42	$1,622.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,107.57 / $1,514.87 / $1,605.32	Facility		$1,107.57	$1,514.87	$1,605.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $1,094.97 / $6,526.97	Facility		$1,062.29	$1,094.97	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.28 / $1,741.89 / $2,173.41	Professional		$1,220.28	$1,741.89	$2,173.41
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 $1,083.39 / $1,558.55 / $2,090.00	Professional		$1,083.39	$1,558.55	$2,090.00
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 $976.03 / $1,252.34 / $2,254.23	Professional		$976.03	$1,252.34	$2,254.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $667.53 / $667.53 / $865.39	Professional		$667.53	$667.53	$865.39