Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.72 / $6,470.00 / $22,024.00	Facility		$1,705.72	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $1,179.28 / $3,372.00	Professional		$787.82	$1,179.28	$3,372.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.85 / $35,815.01 / $70,064.83	Facility		$1,276.85	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.51 / $2,138.81 / $11,680.42	Professional		$1,315.51	$2,138.81	$11,680.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.83 / $1,663.13 / $2,817.43	Professional		$959.83	$1,663.13	$2,817.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $875.13 / $1,813.45 / $2,531.38	Facility		$875.13	$1,813.45	$2,531.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.13 / $1,770.69 / $2,318.35	Professional		$875.13	$1,770.69	$2,318.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $586.21 / $1,837.79	Professional		$81.46	$586.21	$1,837.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,295.07 / $1,771.48 / $1,871.98	Facility		$1,295.07	$1,771.48	$1,871.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,242.13 / $1,242.13 / $1,276.85	Facility		$1,242.13	$1,242.13	$1,276.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,424.77 / $2,031.24 / $2,534.44	Professional		$1,424.77	$2,031.24	$2,534.44
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 $1,266.80 / $1,817.44 / $2,419.60	Professional		$1,266.80	$1,817.44	$2,419.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.06 / $1,523.40 / $2,677.33	Professional		$1,116.06	$1,523.40	$2,677.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.95 / $777.95 / $1,006.63	Professional		$777.95	$777.95	$1,006.63