Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.14 / $6,470.00 / $27,982.24	Facility		$1,680.14	$6,470.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.84 / $1,099.02 / $2,450.57	Professional		$797.84	$1,099.02	$2,450.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,412.56 / $16,547.20 / $26,542.00	Facility		$3,412.56	$16,547.20	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.06 / $2,213.75 / $9,862.15	Professional		$1,346.06	$2,213.75	$9,862.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $6,910.09	Facility		$1,005.16	$1,223.70	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.81 / $1,666.72 / $2,816.85	Professional		$904.81	$1,666.72	$2,816.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,037.40 / $1,967.74 / $6,320.69	Facility		$1,037.40	$1,967.74	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $918.84 / $1,918.12 / $4,655.70	Professional		$918.84	$1,918.12	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $1,088.26 / $2,182.49	Professional		$98.76	$1,088.26	$2,182.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,264.69 / $1,700.85 / $1,865.28	Facility		$1,264.69	$1,700.85	$1,865.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,245.75 / $1,994.21 / $3,953.90	Facility		$1,245.75	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $2,114.54 / $2,552.23	Professional		$1,320.00	$2,114.54	$2,552.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,471.25 / $1,830.20 / $2,410.94	Professional		$1,471.25	$1,830.20	$2,410.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.99 / $1,608.34 / $2,683.14	Professional		$1,032.99	$1,608.34	$2,683.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $774.10 / $1,007.49 / $1,007.49	Professional		$774.10	$1,007.49	$1,007.49