Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.98 / $5,128.00 / $20,680.40	Facility		$2,112.98	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.04 / $2,112.98 / $4,667.52	Professional		$1,530.04	$2,112.98	$4,667.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,294.14 / $19,913.50 / $38,781.51	Facility		$2,294.14	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.41 / $3,840.26 / $14,615.18	Professional		$2,361.41	$3,840.26	$14,615.18
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 $1,752.16 / $2,983.13 / $5,046.47	Professional		$1,752.16	$2,983.13	$5,046.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,760.26 / $3,607.82 / $7,292.72	Facility		$1,760.26	$3,607.82	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.02 / $3,489.42 / $6,279.70	Professional		$1,645.02	$3,489.42	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $917.35 / $3,234.00	Professional		$217.32	$917.35	$3,234.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,406.98 / $3,209.30 / $3,363.40	Facility		$2,406.98	$3,209.30	$3,363.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $2,237.82 / $6,526.97	Facility		$2,173.66	$2,237.82	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,562.83 / $3,655.60 / $4,553.64	Professional		$2,562.83	$3,655.60	$4,553.64
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 $2,282.28 / $3,282.10 / $4,347.32	Professional		$2,282.28	$3,282.10	$4,347.32
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 $1,955.11 / $2,658.69 / $4,785.64	Professional		$1,955.11	$2,658.69	$4,785.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,396.63 / $1,396.63 / $1,791.81	Professional		$1,396.63	$1,396.63	$1,791.81