Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.41 / $3,810.00 / $18,711.00	Facility		$1,140.41	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.79 / $1,140.41 / $2,425.48	Professional		$815.79	$1,140.41	$2,425.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.63 / $2,040.73 / $7,878.38	Professional		$1,279.63	$2,040.73	$7,878.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.88 / $1,607.85 / $2,726.99	Professional		$932.88	$1,607.85	$2,726.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $944.26 / $1,954.99 / $7,292.72	Facility		$944.26	$1,954.99	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.31 / $1,860.35 / $6,279.70	Professional		$869.31	$1,860.35	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $574.68 / $1,762.01	Professional		$81.90	$574.68	$1,762.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,254.69 / $1,713.86 / $1,813.02	Facility		$1,254.69	$1,713.86	$1,813.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,236.64 / $6,526.97	Facility		$1,202.26	$1,236.64	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.01 / $1,967.26 / $2,454.61	Professional		$1,378.01	$1,967.26	$2,454.61
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 $1,226.15 / $1,760.20 / $2,360.16	Professional		$1,226.15	$1,760.20	$2,360.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.60 / $1,445.91 / $2,589.46	Professional		$1,058.60	$1,445.91	$2,589.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $753.11 / $753.11 / $972.91	Professional		$753.11	$753.11	$972.91