Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.78 / $8,020.65 / $20,680.40	Facility		$1,799.78	$8,020.65	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.48 / $1,334.80 / $2,844.14	Professional		$969.48	$1,334.80	$2,844.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.35 / $2,418.42 / $9,209.33	Professional		$1,488.35	$2,418.42	$9,209.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.90 / $1,882.89 / $3,192.01	Professional		$1,036.90	$1,882.89	$3,192.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,020.51 / $2,092.83 / $3,421.38	Facility		$1,020.51	$2,092.83	$3,421.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $989.83 / $2,074.90 / $3,054.80	Professional		$989.83	$2,074.90	$3,054.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $617.64 / $2,023.08	Professional		$81.46	$617.64	$2,023.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,394.39 / $1,928.26 / $2,119.88	Facility		$1,394.39	$1,928.26	$2,119.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,406.11 / $2,961.46	Facility		$986.25	$1,406.11	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.99 / $2,300.23 / $2,870.06	Professional		$1,611.99	$2,300.23	$2,870.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,434.05 / $2,058.12 / $2,740.02	Professional		$1,434.05	$2,058.12	$2,740.02
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.99 / $1,712.84 / $3,029.74	Professional		$1,201.99	$1,712.84	$3,029.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $881.48 / $881.48 / $1,141.65	Professional		$881.48	$881.48	$1,141.65