Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.19 / $6,470.00 / $20,680.40	Facility		$1,397.19	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.89 / $967.09 / $2,161.00	Professional		$683.89	$967.09	$2,161.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $20,273.81 / $38,781.51	Facility		$6,145.87	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.16 / $1,725.72 / $6,672.68	Professional		$1,078.16	$1,725.72	$6,672.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,929.81	Facility		$714.97	$870.49	$11,929.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.06 / $1,362.30 / $2,314.83	Professional		$760.06	$1,362.30	$2,314.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.31 / $1,605.38 / $9,464.70	Facility		$794.31	$1,605.38	$9,464.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.67 / $1,562.37 / $9,008.77	Professional		$724.67	$1,562.37	$9,008.77
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 $1,053.50 / $1,426.92 / $1,535.64	Facility		$1,053.50	$1,426.92	$1,535.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,014.27 / $1,047.44 / $6,526.97	Facility		$1,014.27	$1,047.44	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,165.30 / $1,666.28 / $2,079.07	Professional		$1,165.30	$1,666.28	$2,079.07
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 $1,034.42 / $1,490.90 / $1,995.84	Professional		$1,034.42	$1,490.90	$1,995.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $11,941.00	Facility		$2,155.00	$3,297.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $926.12 / $1,238.59 / $2,154.60	Professional		$926.12	$1,238.59	$2,154.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $638.54 / $638.54 / $829.79	Professional		$638.54	$638.54	$829.79