Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.79 / $5,128.00 / $21,917.86	Facility		$1,608.79	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.56 / $1,243.58 / $2,346.50	Professional		$823.56	$1,243.58	$2,346.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $20,273.81 / $38,781.51	Facility		$6,013.44	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.15 / $2,062.80 / $7,755.68	Professional		$1,253.15	$2,062.80	$7,755.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,524.25	Facility		$883.20	$1,075.31	$10,524.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.87 / $1,613.12 / $2,730.05	Professional		$874.87	$1,613.12	$2,730.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $878.26 / $1,790.62 / $8,349.57	Facility		$878.26	$1,790.62	$8,349.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $1,719.70 / $7,947.37	Professional		$804.46	$1,719.70	$7,947.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $482.52 / $1,711.36	Professional		$116.13	$482.52	$1,711.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.81 / $1,585.89 / $1,784.88	Facility		$1,160.81	$1,585.89	$1,784.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,204.07 / $1,217.45 / $8,713.31	Facility		$1,204.07	$1,217.45	$8,713.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.04 / $1,966.92 / $2,416.51	Professional		$1,370.04	$1,966.92	$2,416.51
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 $1,228.00 / $1,732.88 / $2,346.96	Professional		$1,228.00	$1,732.88	$2,346.96
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 $1,032.79 / $1,419.83 / $2,533.65	Professional		$1,032.79	$1,419.83	$2,533.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $733.23 / $733.23 / $971.35	Professional		$733.23	$733.23	$971.35