Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.16 / $5,128.00 / $21,917.86	Facility		$1,671.16	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.08 / $1,156.44 / $2,550.78	Professional		$839.08	$1,156.44	$2,550.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,172.83 / $20,286.13	Facility		$5,490.98	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.43 / $2,066.60 / $7,973.55	Professional		$1,288.43	$2,066.60	$7,973.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.18 / $1,629.43 / $2,762.60	Professional		$939.18	$1,629.43	$2,762.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $922.63 / $1,870.50 / $3,280.24	Facility		$922.63	$1,870.50	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,832.39 / $2,880.24	Professional		$865.15	$1,832.39	$2,880.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $586.12 / $1,820.66	Professional		$81.46	$586.12	$1,820.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,257.28 / $1,738.65 / $1,835.13	Facility		$1,257.28	$1,738.65	$1,835.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,217.66 / $2,961.46	Facility		$986.25	$1,217.66	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,395.48 / $1,991.25 / $2,484.55	Professional		$1,395.48	$1,991.25	$2,484.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,241.85 / $1,781.67 / $2,371.96	Professional		$1,241.85	$1,781.67	$2,371.96
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 $1,093.26 / $1,457.67 / $2,614.71	Professional		$1,093.26	$1,457.67	$2,614.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $762.23 / $762.23 / $986.92	Professional		$762.23	$762.23	$986.92