Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.04 / $5,128.00 / $20,680.40	Facility		$1,693.04	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.77 / $1,171.39 / $2,563.40	Professional		$849.77	$1,171.39	$2,563.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $20,273.81 / $38,781.51	Facility		$6,526.97	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.02 / $2,117.98 / $8,088.00	Professional		$1,312.02	$2,117.98	$8,088.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,612.76 / $3,818.41 / $4,574.89	Professional		$3,612.76	$3,818.41	$4,574.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $968.74 / $1,955.83 / $10,779.18	Facility		$968.74	$1,955.83	$10,779.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.31 / $1,906.75 / $9,281.84	Professional		$883.31	$1,906.75	$9,281.84
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 $1,273.02 / $1,748.03 / $1,861.26	Facility		$1,273.02	$1,748.03	$1,861.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,231.71 / $1,269.55 / $6,526.97	Facility		$1,231.71	$1,269.55	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.46 / $2,019.61 / $2,519.92	Professional		$1,413.46	$2,019.61	$2,519.92
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 $1,256.18 / $1,807.04 / $2,420.88	Professional		$1,256.18	$1,807.04	$2,420.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $4,785.00 / $16,315.00	Facility		$2,225.00	$4,785.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.68 / $1,517.07 / $2,767.51	Professional		$1,109.68	$1,517.07	$2,767.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $773.82 / $773.82 / $1,002.91	Professional		$773.82	$773.82	$1,002.91