Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.08 / $1,356.27 / $3,025.97	Professional		$958.08	$1,356.27	$3,025.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.79 / $2,253.53 / $8,521.43	Professional		$1,379.79	$2,253.53	$8,521.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.32 / $1,742.89 / $2,951.70	Professional		$1,008.32	$1,742.89	$2,951.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,019.48 / $2,103.52 / $7,292.72	Facility		$1,019.48	$2,103.52	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.22 / $2,006.80 / $6,279.70	Professional		$935.22	$2,006.80	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $592.51 / $1,895.31	Professional		$81.09	$592.51	$1,895.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,345.94 / $1,861.26 / $1,961.76	Facility		$1,345.94	$1,861.26	$1,961.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,302.83 / $1,338.10 / $6,526.97	Facility		$1,302.83	$1,338.10	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.62 / $2,128.66 / $2,655.99	Professional		$1,493.62	$2,128.66	$2,655.99
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 $1,328.71 / $1,907.72 / $2,558.16	Professional		$1,328.71	$1,907.72	$2,558.16
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 $1,173.06 / $1,582.29 / $2,806.71	Professional		$1,173.06	$1,582.29	$2,806.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $814.95 / $814.95 / $1,053.32	Professional		$814.95	$814.95	$1,053.32