Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.55 / $5,132.00 / $22,024.00	Facility		$1,476.55	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $1,100.88 / $2,166.21	Professional		$679.20	$1,100.88	$2,166.21
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 $1,186.82 / $1,920.51 / $7,343.03	Professional		$1,186.82	$1,920.51	$7,343.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,315.84	Facility		$1,005.16	$1,223.70	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.23 / $1,529.12 / $2,587.87	Professional		$826.23	$1,529.12	$2,587.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $830.85 / $1,698.83 / $7,292.72	Facility		$830.85	$1,698.83	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.09 / $1,619.65 / $6,279.70	Professional		$759.09	$1,619.65	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $474.14 / $1,647.75	Professional		$116.13	$474.14	$1,647.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,089.42 / $1,488.20 / $1,690.41	Facility		$1,089.42	$1,488.20	$1,690.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.75 / $1,153.01 / $9,113.07	Facility		$1,139.75	$1,153.01	$9,113.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.58 / $1,861.84 / $2,288.61	Professional		$1,296.58	$1,861.84	$2,288.61
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 $1,162.39 / $1,641.16 / $2,211.44	Professional		$1,162.39	$1,641.16	$2,211.44
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 $982.61 / $1,337.49 / $2,397.79	Professional		$982.61	$1,337.49	$2,397.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $695.13 / $695.13 / $924.76	Professional		$695.13	$695.13	$924.76