Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,511.76 / $5,132.00 / $22,024.00	Facility		$1,511.76	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.08 / $1,045.69 / $2,303.46	Professional		$759.08	$1,045.69	$2,303.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,347.34 / $36,469.56 / $71,345.31	Facility		$8,347.34	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.11 / $1,904.72 / $7,216.13	Professional		$1,166.11	$1,904.72	$7,216.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $22,713.30	Facility		$1,005.16	$1,223.70	$22,713.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.16 / $1,474.01 / $2,500.42	Professional		$853.16	$1,474.01	$2,500.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $864.68 / $1,778.10 / $18,019.95	Facility		$864.68	$1,778.10	$18,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $790.14 / $1,689.25 / $17,151.90	Professional		$790.14	$1,689.25	$17,151.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $438.42 / $1,622.99	Professional		$78.54	$438.42	$1,622.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,136.80 / $1,567.13 / $1,660.93	Facility		$1,136.80	$1,567.13	$1,660.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,099.88 / $1,132.90 / $18,306.07	Facility		$1,099.88	$1,132.90	$18,306.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,262.41 / $1,802.23 / $2,248.69	Professional		$1,262.41	$1,802.23	$2,248.69
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 $1,121.74 / $1,612.54 / $2,162.16	Professional		$1,121.74	$1,612.54	$2,162.16
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 $985.74 / $1,267.38 / $2,334.16	Professional		$985.74	$1,267.38	$2,334.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $690.17 / $690.17 / $893.58	Professional		$690.17	$690.17	$893.58