Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.20 / $5,128.00 / $20,680.40	Facility		$1,594.20	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.83 / $1,160.38 / $2,325.21	Professional		$823.83	$1,160.38	$2,325.21
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 $1,253.61 / $2,030.08 / $7,756.50	Professional		$1,253.61	$2,030.08	$7,756.50
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 $875.53 / $1,614.44 / $2,731.61	Professional		$875.53	$1,614.44	$2,731.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $880.44 / $1,798.13 / $7,292.72	Facility		$880.44	$1,798.13	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.77 / $1,719.70 / $6,279.70	Professional		$804.77	$1,719.70	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $487.99 / $1,714.04	Professional		$116.13	$487.99	$1,714.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,138.76 / $1,573.23 / $1,785.55	Facility		$1,138.76	$1,573.23	$1,785.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,204.53 / $1,217.91 / $8,497.21	Facility		$1,204.53	$1,217.91	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.55 / $1,967.66 / $2,417.42	Professional		$1,370.55	$1,967.66	$2,417.42
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 $1,228.46 / $1,733.53 / $2,344.76	Professional		$1,228.46	$1,733.53	$2,344.76
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 $1,037.92 / $1,369.20 / $2,575.94	Professional		$1,037.92	$1,369.20	$2,575.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $734.34 / $734.34 / $974.08	Professional		$734.34	$734.34	$974.08