Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.03 / $1,473.58 / $2,944.57	Professional		$976.03	$1,473.58	$2,944.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $19,913.50 / $38,781.51	Facility		$2,173.66	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.16 / $2,435.71 / $9,276.90	Professional		$1,499.16	$2,435.71	$9,276.90
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 $1,098.79 / $1,895.22 / $3,214.56	Professional		$1,098.79	$1,895.22	$3,214.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,113.51 / $2,281.23 / $7,292.72	Facility		$1,113.51	$2,281.23	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.22 / $2,186.60 / $6,279.70	Professional		$1,013.22	$2,186.60	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $620.16 / $2,056.43	Professional		$81.78	$620.16	$2,056.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,499.96 / $2,007.32 / $2,135.29	Facility		$1,499.96	$2,007.32	$2,135.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.72 / $1,456.46 / $6,526.97	Facility		$1,414.72	$1,456.46	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.09 / $2,316.94 / $2,890.93	Professional		$1,623.09	$2,316.94	$2,890.93
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 $1,442.83 / $2,073.08 / $2,779.92	Professional		$1,442.83	$2,073.08	$2,779.92
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 $1,273.85 / $1,722.25 / $3,002.67	Professional		$1,273.85	$1,722.25	$3,002.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $887.83 / $887.83 / $1,149.52	Professional		$887.83	$887.83	$1,149.52