Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.22 / $5,132.00 / $22,024.00	Facility		$1,526.22	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.29 / $1,054.59 / $2,336.11	Professional		$766.29	$1,054.59	$2,336.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,347.34 / $35,057.57 / $71,345.31	Facility		$8,347.34	$35,057.57	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,887.79 / $7,276.43	Professional		$1,176.00	$1,887.79	$7,276.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $15,711.66	Facility		$1,005.16	$1,223.70	$15,711.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.39 / $1,488.11 / $2,521.48	Professional		$826.39	$1,488.11	$2,521.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $857.38 / $1,745.82 / $12,593.29	Facility		$857.38	$1,745.82	$12,593.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.51 / $1,714.62 / $11,864.63	Professional		$793.51	$1,714.62	$11,864.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $437.87 / $1,642.99	Professional		$78.54	$437.87	$1,642.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,155.42 / $1,589.91 / $1,675.00	Facility		$1,155.42	$1,589.91	$1,675.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,110.30 / $1,142.50 / $13,091.98	Facility		$1,110.30	$1,142.50	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.74 / $1,817.50 / $2,267.75	Professional		$1,274.74	$1,817.50	$2,267.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,132.35 / $1,626.20 / $2,183.28	Professional		$1,132.35	$1,626.20	$2,183.28
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 $998.63 / $1,351.00 / $2,356.94	Professional		$998.63	$1,351.00	$2,356.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $696.52 / $696.52 / $901.56	Professional		$696.52	$696.52	$901.56