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 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.84 / $1,247.09 / $2,528.38	Professional		$873.84	$1,247.09	$2,528.38
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 $1,348.07 / $2,162.00 / $8,213.48	Professional		$1,348.07	$2,162.00	$8,213.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,290.54	Facility		$714.97	$870.49	$11,290.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.23 / $1,715.03 / $2,908.47	Professional		$933.23	$1,715.03	$2,908.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $946.99 / $1,947.06 / $8,957.52	Facility		$946.99	$1,947.06	$8,957.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.17 / $1,853.10 / $8,526.03	Professional		$870.17	$1,853.10	$8,526.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $550.27 / $1,826.77	Professional		$116.13	$550.27	$1,826.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,246.07 / $1,709.12 / $1,890.74	Facility		$1,246.07	$1,709.12	$1,890.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.63 / $1,289.65 / $8,497.21	Facility		$1,280.63	$1,289.65	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.77 / $2,091.98 / $2,559.84	Professional		$1,453.77	$2,091.98	$2,559.84
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 $1,306.07 / $1,835.65 / $2,490.40	Professional		$1,306.07	$1,835.65	$2,490.40
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 $1,114.49 / $1,518.45 / $2,732.37	Professional		$1,114.49	$1,518.45	$2,732.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $775.47 / $775.47 / $1,032.88	Professional		$775.47	$775.47	$1,032.88