Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.77 / $2,272.32 / $20,680.40	Facility		$1,196.77	$2,272.32	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.11 / $1,068.69 / $2,272.32	Professional		$796.11	$1,068.69	$2,272.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,442.95 / $21,924.91	Facility		$55.00	$14,442.95	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.16 / $1,945.58 / $9,218.11	Professional		$1,224.16	$1,945.58	$9,218.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $6,910.09	Facility		$500.00	$870.49	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.74 / $1,533.55 / $2,591.78	Professional		$828.74	$1,533.55	$2,591.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.44 / $1,933.65 / $6,320.69	Facility		$977.44	$1,933.65	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.07 / $1,775.54 / $4,655.70	Professional		$829.07	$1,775.54	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $972.23 / $1,980.04	Professional		$98.76	$972.23	$1,980.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,216.18 / $1,620.73 / $1,702.47	Facility		$1,216.18	$1,620.73	$1,702.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.65 / $1,994.21 / $3,953.90	Facility		$1,140.65	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.67 / $1,933.45 / $2,318.46	Professional		$1,203.67	$1,933.45	$2,318.46
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 $1,347.13 / $1,670.45 / $2,182.71	Professional		$1,347.13	$1,670.45	$2,182.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,509.00 / $20,414.13 / $30,291.80	Facility		$3,509.00	$20,414.13	$30,291.80
United Facility/Professional Professional Modifier Low / Median / High Price $922.35 / $1,419.00 / $2,577.84	Professional		$922.35	$1,419.00	$2,577.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $703.98 / $932.64 / $932.64	Professional		$703.98	$932.64	$932.64