Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.19 / $5,132.00 / $22,024.00	Facility		$1,459.19	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.87 / $1,008.89 / $2,189.42	Professional		$731.87	$1,008.89	$2,189.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,756.27 / $20,273.81 / $38,781.51	Facility		$9,756.27	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.73 / $1,823.05 / $6,960.53	Professional		$1,124.73	$1,823.05	$6,960.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $11,961.38	Facility		$1,005.16	$1,223.70	$11,961.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.33 / $1,422.75 / $2,414.39	Professional		$815.33	$1,422.75	$2,414.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $828.08 / $1,677.14 / $10,489.74	Facility		$828.08	$1,677.14	$10,489.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.21 / $1,622.55 / $9,032.61	Professional		$752.21	$1,622.55	$9,032.61
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 $1,100.05 / $1,490.75 / $1,601.97	Facility		$1,100.05	$1,490.75	$1,601.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.57 / $1,092.69 / $9,756.27	Facility		$1,059.57	$1,092.69	$9,756.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,217.19 / $1,738.26 / $2,168.88	Professional		$1,217.19	$1,738.26	$2,168.88
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 $1,080.61 / $1,555.30 / $2,084.71	Professional		$1,080.61	$1,555.30	$2,084.71
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 $968.76 / $1,220.95 / $2,238.40	Professional		$968.76	$1,220.95	$2,238.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.32 / $665.32 / $864.26	Professional		$665.32	$665.32	$864.26