Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.71 / $2,016.84 / $17,967.00	Facility		$1,207.71	$2,016.84	$17,967.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.21 / $914.51 / $2,097.89	Professional		$635.21	$914.51	$2,097.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,722.80 / $15,555.67 / $26,542.00	Facility		$3,722.80	$15,555.67	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.83 / $1,819.75 / $6,428.80	Professional		$1,059.83	$1,819.75	$6,428.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $6,910.09	Facility		$883.20	$1,075.31	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.53 / $1,392.83 / $2,445.61	Professional		$749.53	$1,392.83	$2,445.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $793.60 / $1,515.46 / $5,194.27	Facility		$793.60	$1,515.46	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.66 / $1,431.11 / $2,692.17	Professional		$770.66	$1,431.11	$2,692.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $971.37 / $1,980.04	Professional		$98.76	$971.37	$1,980.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,132.77 / $1,594.60 / $1,744.01	Facility		$1,132.77	$1,594.60	$1,744.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.95 / $1,189.57 / $3,953.90	Facility		$1,161.95	$1,189.57	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.80 / $1,594.71 / $2,246.06	Professional		$1,092.80	$1,594.71	$2,246.06
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 $1,126.25 / $1,504.46 / $2,021.23	Professional		$1,126.25	$1,504.46	$2,021.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.19 / $1,451.80 / $2,506.42	Professional		$928.19	$1,451.80	$2,506.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $714.18 / $725.13 / $944.94	Professional		$714.18	$725.13	$944.94