Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.70 / $5,128.00 / $22,024.00	Facility		$1,402.70	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.41 / $970.44 / $2,045.03	Professional		$688.41	$970.44	$2,045.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,446.39 / $20,273.81 / $38,781.51	Facility		$8,446.39	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.92 / $1,763.00 / $6,695.93	Professional		$1,081.92	$1,763.00	$6,695.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,234.57	Facility		$714.97	$870.49	$11,234.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.22 / $1,367.66 / $2,322.80	Professional		$763.22	$1,367.66	$2,322.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $798.66 / $1,614.56 / $9,852.34	Facility		$798.66	$1,614.56	$9,852.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.80 / $1,569.62 / $8,483.77	Professional		$727.80	$1,569.62	$8,483.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $414.42 / $1,521.65	Professional		$78.68	$414.42	$1,521.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,060.35 / $1,440.50 / $1,541.00	Facility		$1,060.35	$1,440.50	$1,541.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.80 / $1,051.09 / $8,446.39	Facility		$1,018.80	$1,051.09	$8,446.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.92 / $1,672.10 / $2,086.33	Professional		$1,169.92	$1,672.10	$2,086.33
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 $1,039.04 / $1,496.10 / $2,003.76	Professional		$1,039.04	$1,496.10	$2,003.76
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 $918.73 / $1,149.89 / $2,163.15	Professional		$918.73	$1,149.89	$2,163.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.03 / $641.03 / $832.94	Professional		$641.03	$641.03	$832.94