Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.24 / $9,368.00 / $20,680.40	Facility		$1,428.24	$9,368.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.39 / $988.02 / $2,182.46	Professional		$666.39	$988.02	$2,182.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $19,913.50 / $27,396.88	Facility		$11,500.00	$19,913.50	$27,396.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.32 / $1,790.00 / $6,783.23	Professional		$1,099.32	$1,790.00	$6,783.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.05 / $1,392.58 / $2,361.63	Professional		$803.05	$1,392.58	$2,361.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $813.30 / $1,688.25 / $7,292.72	Facility		$813.30	$1,688.25	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.14 / $1,599.35 / $6,279.70	Professional		$751.14	$1,599.35	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $414.42 / $1,548.69	Professional		$78.68	$414.42	$1,548.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,076.53 / $1,479.36 / $1,565.79	Facility		$1,076.53	$1,479.36	$1,565.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.75 / $1,068.01 / $6,526.97	Facility		$1,033.75	$1,068.01	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,189.96 / $1,699.00 / $2,119.89	Professional		$1,189.96	$1,699.00	$2,119.89
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 $1,054.28 / $1,520.17 / $2,038.08	Professional		$1,054.28	$1,520.17	$2,038.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,096.98 / $16,315.00	Facility		$2,912.00	$6,096.98	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.59 / $1,262.91 / $2,200.21	Professional		$951.59	$1,262.91	$2,200.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $651.52 / $651.52 / $846.19	Professional		$651.52	$651.52	$846.19