Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.73 / $5,372.14 / $20,680.40	Facility		$1,622.73	$5,372.14	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.56 / $1,122.14 / $2,376.64	Professional		$870.56	$1,122.14	$2,376.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,780.28 / $36,469.56 / $71,345.31	Facility		$4,780.28	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.73 / $1,976.01 / $7,746.08	Professional		$1,251.73	$1,976.01	$7,746.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $20,934.75	Facility		$714.97	$2,285.42	$20,934.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.52 / $1,582.21 / $2,684.52	Professional		$880.52	$1,582.21	$2,684.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $924.37 / $1,864.88 / $16,608.91	Facility		$924.37	$1,864.88	$16,608.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.45 / $1,825.55 / $15,808.83	Professional		$845.45	$1,825.55	$15,808.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $569.66 / $1,731.94	Professional		$81.45	$569.66	$1,731.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.13 / $1,689.07 / $1,782.87	Facility		$1,243.13	$1,689.07	$1,782.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.07 / $1,216.08 / $17,043.99	Facility		$1,180.07	$1,216.08	$17,043.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,354.89 / $1,934.55 / $2,413.79	Professional		$1,354.89	$1,934.55	$2,413.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,203.51 / $1,730.93 / $2,320.56	Professional		$1,203.51	$1,730.93	$2,320.56
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 $1,062.59 / $1,391.50 / $2,505.16	Professional		$1,062.59	$1,391.50	$2,505.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $740.69 / $740.69 / $959.73	Professional		$740.69	$740.69	$959.73