Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.97 / $5,128.00 / $21,917.86	Facility		$1,478.97	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.03 / $1,023.30 / $2,195.05	Professional		$742.03	$1,023.30	$2,195.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $21,054.96 / $28,340.90	Facility		$11,500.00	$21,054.96	$28,340.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.78 / $1,826.92 / $7,052.55	Professional		$1,139.78	$1,826.92	$7,052.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,835.11	Facility		$883.20	$1,075.31	$11,835.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.68 / $1,442.04 / $2,446.54	Professional		$827.68	$1,442.04	$2,446.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $829.11 / $1,681.28 / $10,379.00	Facility		$829.11	$1,681.28	$10,379.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.47 / $1,647.20 / $8,937.27	Professional		$763.47	$1,647.20	$8,937.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $420.53 / $1,596.99	Professional		$78.68	$420.53	$1,596.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,094.17 / $1,496.02 / $1,623.41	Facility		$1,094.17	$1,496.02	$1,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,075.42 / $1,107.31 / $8,497.21	Facility		$1,075.42	$1,107.31	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.39 / $1,761.52 / $2,197.90	Professional		$1,233.39	$1,761.52	$2,197.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.79 / $1,576.12 / $2,112.88	Professional		$1,096.79	$1,576.12	$2,112.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $6,096.98 / $19,271.00	Facility		$3,028.00	$6,096.98	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.90 / $1,445.86 / $2,318.16	Professional		$963.90	$1,445.86	$2,318.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $675.27 / $675.27 / $876.67	Professional		$675.27	$675.27	$876.67