Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.98 / $5,132.00 / $22,024.00	Facility		$1,654.98	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.03 / $1,145.30 / $2,524.46	Professional		$831.03	$1,145.30	$2,524.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.30 / $20,273.81 / $38,781.51	Facility		$1,240.30	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.67 / $2,114.13 / $7,900.88	Professional		$1,276.67	$2,114.13	$7,900.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,285.42	Facility		$2,000.00	$2,285.42	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.36 / $1,613.65 / $2,737.65	Professional		$930.36	$1,613.65	$2,737.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $942.59 / $1,920.78 / $9,972.21	Facility		$942.59	$1,920.78	$9,972.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.34 / $1,852.37 / $8,194.74	Professional		$857.34	$1,852.37	$8,194.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $586.12 / $1,802.35	Professional		$81.09	$586.12	$1,802.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,241.77 / $1,717.21 / $1,818.38	Facility		$1,241.77	$1,717.21	$1,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,205.43 / $1,205.43 / $1,240.30	Facility		$1,205.43	$1,205.43	$1,240.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,381.61 / $1,973.08 / $2,461.87	Professional		$1,381.61	$1,973.08	$2,461.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,229.38 / $1,765.40 / $2,366.32	Professional		$1,229.38	$1,765.40	$2,366.32
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 $1,084.09 / $1,466.64 / $2,554.56	Professional		$1,084.09	$1,466.64	$2,554.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $755.59 / $755.59 / $978.54	Professional		$755.59	$755.59	$978.54