Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.77 / $5,132.00 / $22,024.00	Facility		$1,655.77	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.08 / $1,251.83 / $2,530.09	Professional		$832.08	$1,251.83	$2,530.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.21 / $35,815.01 / $70,064.83	Facility		$1,241.21	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.60 / $2,049.10 / $7,906.95	Professional		$1,277.60	$2,049.10	$7,906.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,521.56 / $3,722.02 / $4,459.39	Professional		$3,521.56	$3,722.02	$4,459.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $859.60 / $1,771.82 / $2,462.33	Facility		$859.60	$1,771.82	$2,462.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.26 / $1,723.61 / $2,256.71	Professional		$851.26	$1,723.61	$2,256.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $575.57 / $1,762.01	Professional		$81.90	$575.57	$1,762.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.71 / $1,719.89 / $1,819.72	Facility		$1,243.71	$1,719.89	$1,819.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,203.17 / $1,203.17 / $1,241.21	Facility		$1,203.17	$1,203.17	$1,241.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.66 / $1,974.53 / $2,463.67	Professional		$1,383.66	$1,974.53	$2,463.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,227.07 / $1,766.70 / $2,352.06	Professional		$1,227.07	$1,766.70	$2,352.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $5,643.00 / $19,271.00	Facility		$2,853.00	$5,643.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.00 / $1,481.14 / $2,596.64	Professional		$1,096.00	$1,481.14	$2,596.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $756.42 / $756.42 / $977.01	Professional		$756.42	$756.42	$977.01