Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.99 / $5,128.00 / $20,680.40	Facility		$1,372.99	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $948.97 / $2,093.63	Professional		$666.75	$948.97	$2,093.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,005.11 / $36,469.56 / $71,345.31	Facility		$10,005.11	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.86 / $1,748.44 / $6,553.58	Professional		$1,058.86	$1,748.44	$6,553.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $19,914.00	Facility		$714.97	$870.49	$19,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.09 / $1,338.71 / $2,271.96	Professional		$788.09	$1,338.71	$2,271.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $807.64 / $1,621.67 / $15,799.07	Facility		$807.64	$1,621.67	$15,799.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.20 / $1,568.06 / $15,038.01	Professional		$772.20	$1,568.06	$15,038.01
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 $1,029.56 / $1,423.75 / $1,508.17	Facility		$1,029.56	$1,423.75	$1,508.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.96 / $1,028.71 / $17,043.99	Facility		$997.96	$1,028.71	$17,043.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,145.77 / $1,636.48 / $2,041.88	Professional		$1,145.77	$1,636.48	$2,041.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,017.79 / $1,464.23 / $1,962.40	Professional		$1,017.79	$1,464.23	$1,962.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,016.00 / $44,605.09 / $73,608.78	Facility		$4,016.00	$44,605.09	$73,608.78
United Facility/Professional Professional Modifier Low / Median / High Price $852.80 / $1,216.44 / $2,118.48	Professional		$852.80	$1,216.44	$2,118.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.95 / $626.95 / $813.28	Professional		$626.95	$626.95	$813.28