Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.26 / $1,277.18 / $2,781.14	Professional		$916.26	$1,277.18	$2,781.14
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 $1,406.97 / $2,256.83 / $8,707.12	Professional		$1,406.97	$2,256.83	$8,707.12
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 $980.77 / $1,784.67 / $3,026.33	Professional		$980.77	$1,784.67	$3,026.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $2,004.86 / $7,292.72	Facility		$967.00	$2,004.86	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.54 / $1,982.53 / $6,279.70	Professional		$940.54	$1,982.53	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $608.49 / $1,984.54	Professional		$81.45	$608.49	$1,984.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,340.56 / $1,874.66 / $2,003.97	Facility		$1,340.56	$1,874.66	$2,003.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,330.01 / $1,366.89 / $6,526.97	Facility		$1,330.01	$1,366.89	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.93 / $2,174.46 / $2,713.14	Professional		$1,523.93	$2,174.46	$2,713.14
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 $1,356.43 / $1,949.77 / $2,610.08	Professional		$1,356.43	$1,949.77	$2,610.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,096.98 / $11,941.00	Facility		$2,155.00	$6,096.98	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.50 / $1,631.29 / $2,817.69	Professional		$1,165.50	$1,631.29	$2,817.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.24 / $831.24 / $1,085.57	Professional		$831.24	$831.24	$1,085.57