Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,696.46 / $5,693.86 / $21,917.86	Facility		$1,696.46	$5,693.86	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.58 / $1,172.94 / $2,607.69	Professional		$852.58	$1,172.94	$2,607.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.92 / $19,823.93 / $38,781.51	Facility		$1,270.92	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.18 / $2,131.73 / $11,926.99	Professional		$1,308.18	$2,131.73	$11,926.99
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 $922.20 / $1,654.09 / $2,802.08	Professional		$922.20	$1,654.09	$2,802.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $956.11 / $1,968.64 / $7,292.72	Facility		$956.11	$1,968.64	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.16 / $1,914.00 / $6,279.70	Professional		$914.16	$1,914.00	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $581.39 / $1,791.87	Professional		$81.54	$581.39	$1,791.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,252.59 / $1,776.17 / $1,863.27	Facility		$1,252.59	$1,776.17	$1,863.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.69 / $1,270.92 / $6,526.97	Facility		$1,236.69	$1,270.92	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,418.09 / $2,021.79 / $2,522.65	Professional		$1,418.09	$2,021.79	$2,522.65
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 $1,261.26 / $1,811.60 / $2,428.80	Professional		$1,261.26	$1,811.60	$2,428.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.20 / $1,502.86 / $2,664.79	Professional		$1,077.20	$1,502.86	$2,664.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $774.10 / $774.10 / $999.37	Professional		$774.10	$774.10	$999.37