Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,540.51 / $5,128.00 / $21,917.86	Facility		$1,540.51	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.80 / $1,064.93 / $2,318.04	Professional		$772.80	$1,064.93	$2,318.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,839.79 / $19,913.50 / $38,781.51	Facility		$8,839.79	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.34 / $1,926.29 / $7,340.33	Professional		$1,186.34	$1,926.29	$7,340.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.74 / $1,502.04 / $2,546.10	Professional		$855.74	$1,502.04	$2,546.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $875.43 / $1,784.78 / $7,292.72	Facility		$875.43	$1,784.78	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.70 / $1,717.52 / $6,279.70	Professional		$795.70	$1,717.52	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $438.42 / $1,646.04	Professional		$78.54	$438.42	$1,646.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,151.99 / $1,573.83 / $1,689.74	Facility		$1,151.99	$1,573.83	$1,689.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,119.35 / $1,152.55 / $8,839.79	Facility		$1,119.35	$1,152.55	$8,839.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.53 / $1,833.49 / $2,287.71	Professional		$1,285.53	$1,833.49	$2,287.71
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 $1,141.59 / $1,640.51 / $2,201.76	Professional		$1,141.59	$1,640.51	$2,201.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.41 / $1,362.89 / $2,376.91	Professional		$1,007.41	$1,362.89	$2,376.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $702.31 / $702.31 / $911.53	Professional		$702.31	$702.31	$911.53