Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.87 / $5,128.00 / $20,680.40	Facility		$1,390.87	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.68 / $961.15 / $2,119.16	Professional		$697.68	$961.15	$2,119.16
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 $1,071.57 / $1,750.31 / $6,631.13	Professional		$1,071.57	$1,750.31	$6,631.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $1,356.13 / $2,299.67	Professional		$781.00	$1,356.13	$2,299.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $793.15 / $1,624.57 / $7,292.72	Facility		$793.15	$1,624.57	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $1,555.12 / $6,279.70	Professional		$720.72	$1,555.12	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.69 / $1,466.02	Professional		$78.68	$399.69	$1,466.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,049.91 / $1,441.17 / $1,526.26	Facility		$1,049.91	$1,441.17	$1,526.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.64 / $1,041.05 / $6,526.97	Facility		$1,010.64	$1,041.05	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.67 / $1,656.11 / $2,066.37	Professional		$1,160.67	$1,656.11	$2,066.37
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 $1,030.72 / $1,481.80 / $1,987.92	Professional		$1,030.72	$1,481.80	$1,987.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,096.98 / $16,315.00	Facility		$2,912.00	$6,096.98	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.95 / $1,187.44 / $2,146.05	Professional		$909.95	$1,187.44	$2,146.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $634.96 / $634.96 / $823.97	Professional		$634.96	$634.96	$823.97