Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.57 / $5,128.00 / $22,024.00	Facility		$1,284.57	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.02 / $1,186.38 / $2,407.04	Professional		$840.02	$1,186.38	$2,407.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,722.80 / $16,547.20 / $26,542.00	Facility		$3,722.80	$16,547.20	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.55 / $2,101.06 / $9,218.11	Professional		$1,331.55	$2,101.06	$9,218.11
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 $882.99 / $1,646.85 / $2,783.27	Professional		$882.99	$1,646.85	$2,783.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,027.50 / $2,038.07 / $6,320.69	Facility		$1,027.50	$2,038.07	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.08 / $1,847.64 / $4,655.70	Professional		$867.08	$1,847.64	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $355.20 / $2,060.07	Professional		$79.72	$355.20	$2,060.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,282.82 / $1,727.26 / $1,827.09	Facility		$1,282.82	$1,727.26	$1,827.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,224.01 / $1,994.21 / $3,953.90	Facility		$1,224.01	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.45 / $2,076.50 / $2,485.30	Professional		$1,292.45	$2,076.50	$2,485.30
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 $1,445.57 / $1,792.73 / $2,342.48	Professional		$1,445.57	$1,792.73	$2,342.48
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 $961.02 / $1,473.67 / $2,592.55	Professional		$961.02	$1,473.67	$2,592.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $1,003.43 / $1,003.43	Professional		$755.88	$1,003.43	$1,003.43