Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.31 / $5,128.00 / $20,680.40	Facility		$1,337.31	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.60 / $924.54 / $2,035.41	Professional		$670.60	$924.54	$2,035.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.93 / $1,701.23 / $6,378.53	Professional		$1,035.93	$1,701.23	$6,378.53
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 $750.48 / $1,303.91 / $2,212.71	Professional		$750.48	$1,303.91	$2,212.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $764.81 / $1,576.51 / $7,292.72	Facility		$764.81	$1,576.51	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.25 / $1,499.06 / $6,279.70	Professional		$731.25	$1,499.06	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $397.59 / $1,445.59	Professional		$78.54	$397.59	$1,445.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,004.01 / $1,353.88 / $1,467.97	Facility		$1,004.01	$1,353.88	$1,467.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.78 / $1,001.29 / $6,526.97	Facility		$970.78	$1,001.29	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.46 / $1,592.86 / $1,987.46	Professional		$1,115.46	$1,592.86	$1,987.46
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 $990.07 / $1,425.20 / $1,910.48	Professional		$990.07	$1,425.20	$1,910.48
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 $871.08 / $1,184.02 / $2,096.10	Professional		$871.08	$1,184.02	$2,096.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.83 / $609.83 / $792.52	Professional		$609.83	$609.83	$792.52