Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.86 / $5,128.00 / $20,680.40	Facility		$1,417.86	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.46 / $1,040.36 / $2,068.01	Professional		$735.46	$1,040.36	$2,068.01
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 $1,119.55 / $1,833.13 / $6,927.75	Professional		$1,119.55	$1,833.13	$6,927.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,540.05	Facility		$714.97	$870.49	$10,540.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.58 / $1,443.29 / $2,445.88	Professional		$780.58	$1,443.29	$2,445.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $773.43 / $1,591.21 / $8,362.11	Facility		$773.43	$1,591.21	$8,362.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.84 / $1,517.42 / $7,959.30	Professional		$711.84	$1,517.42	$7,959.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $460.83 / $1,523.20	Professional		$78.81	$460.83	$1,523.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,007.28 / $1,401.25 / $1,594.60	Facility		$1,007.28	$1,401.25	$1,594.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.78 / $1,087.66 / $8,848.04	Facility		$1,076.78	$1,087.66	$8,848.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.11 / $1,758.98 / $2,158.90	Professional		$1,223.11	$1,758.98	$2,158.90
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 $1,098.17 / $1,548.14 / $2,076.23	Professional		$1,098.17	$1,548.14	$2,076.23
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 $918.96 / $1,286.15 / $2,261.94	Professional		$918.96	$1,286.15	$2,261.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $654.28 / $654.28 / $871.85	Professional		$654.28	$654.28	$871.85