Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.34 / $4,500.00 / $21,917.86	Facility		$1,153.34	$4,500.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.90 / $1,070.17 / $2,214.41	Professional		$755.90	$1,070.17	$2,214.41
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 $1,192.31 / $1,961.87 / $7,091.18	Professional		$1,192.31	$1,961.87	$7,091.18
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 $812.07 / $1,517.71 / $2,500.92	Professional		$812.07	$1,517.71	$2,500.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $921.75 / $1,837.34 / $6,320.69	Facility		$921.75	$1,837.34	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.65 / $1,687.49 / $4,655.70	Professional		$806.65	$1,687.49	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $969.63 / $1,961.28	Professional		$98.76	$969.63	$1,961.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,204.91 / $1,598.18 / $1,654.44	Facility		$1,204.91	$1,598.18	$1,654.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,102.15 / $1,994.21 / $3,953.90	Facility		$1,102.15	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.53 / $1,873.34 / $2,261.10	Professional		$1,172.53	$1,873.34	$2,261.10
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 $1,301.66 / $1,621.15 / $2,135.56	Professional		$1,301.66	$1,621.15	$2,135.56
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 $905.96 / $1,420.80 / $2,377.05	Professional		$905.96	$1,420.80	$2,377.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $679.68 / $883.94 / $883.94	Professional		$679.68	$883.94	$883.94