Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $5,128.00 / $21,917.86	Facility		$1,550.35	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.88 / $1,188.16 / $2,261.26	Professional		$825.88	$1,188.16	$2,261.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $19,913.50 / $38,781.51	Facility		$6,013.44	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.23 / $1,953.24 / $7,337.03	Professional		$1,188.23	$1,953.24	$7,337.03
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 $846.96 / $1,541.26 / $2,606.32	Professional		$846.96	$1,541.26	$2,606.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $851.29 / $1,767.76 / $7,292.72	Facility		$851.29	$1,767.76	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.94 / $1,682.63 / $6,279.70	Professional		$791.94	$1,682.63	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $474.28 / $1,612.73	Professional		$115.76	$474.28	$1,612.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,131.90 / $1,534.51 / $1,692.42	Facility		$1,131.90	$1,534.51	$1,692.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.83 / $1,154.38 / $6,526.97	Facility		$1,143.83	$1,154.38	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.26 / $1,868.50 / $2,291.33	Professional		$1,303.26	$1,868.50	$2,291.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,166.55 / $1,643.11 / $2,232.56	Professional		$1,166.55	$1,643.11	$2,232.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.76 / $1,329.24 / $2,366.19	Professional		$1,002.76	$1,329.24	$2,366.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $694.31 / $694.31 / $929.98	Professional		$694.31	$694.31	$929.98