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 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.12 / $1,240.36 / $2,743.86	Professional		$901.12	$1,240.36	$2,743.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,632.33 / $20,273.81 / $38,781.51	Facility		$9,632.33	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.12 / $2,136.38 / $8,911.00	Professional		$1,343.12	$2,136.38	$8,911.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,185.78	Facility		$883.20	$1,075.31	$11,185.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.97 / $1,748.86 / $2,962.54	Professional		$1,011.97	$1,748.86	$2,962.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.18 / $2,084.33 / $9,809.56	Facility		$1,023.18	$2,084.33	$9,809.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.81 / $2,014.77 / $8,446.92	Professional		$931.81	$2,014.77	$8,446.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $608.04 / $1,919.55	Professional		$81.90	$608.04	$1,919.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,363.67 / $1,868.63 / $1,969.13	Facility		$1,363.67	$1,868.63	$1,969.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,307.81 / $1,343.12 / $9,632.33	Facility		$1,307.81	$1,343.12	$9,632.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.75 / $2,136.65 / $2,665.97	Professional		$1,498.75	$2,136.65	$2,665.97
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 $1,333.79 / $1,913.72 / $2,566.96	Professional		$1,333.79	$1,913.72	$2,566.96
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 $1,190.28 / $1,588.23 / $2,816.37	Professional		$1,190.28	$1,588.23	$2,816.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $817.71 / $817.71 / $1,056.81	Professional		$817.71	$817.71	$1,056.81