Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.25 / $3,027.24 / $20,680.40	Facility		$1,198.25	$3,027.24	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $1,033.59 / $2,002.87	Professional		$705.15	$1,033.59	$2,002.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,486.75 / $21,602.23	Facility		$55.00	$13,486.75	$21,602.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.54 / $1,896.67 / $7,231.97	Professional		$1,118.54	$1,896.67	$7,231.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.43 / $1,421.29 / $2,403.73	Professional		$786.43	$1,421.29	$2,403.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $881.62 / $1,649.37 / $5,167.68	Facility		$881.62	$1,649.37	$5,167.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.27 / $1,599.32 / $3,215.17	Professional		$756.27	$1,599.32	$3,215.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $931.72 / $1,907.79	Professional		$98.49	$931.72	$1,907.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,127.49 / $1,517.55 / $1,614.70	Facility		$1,127.49	$1,517.55	$1,614.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,083.58 / $1,083.58 / $1,101.36	Facility		$1,083.58	$1,083.58	$1,101.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.16 / $1,823.12 / $2,200.48	Professional		$1,148.16	$1,823.12	$2,200.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,279.72 / $1,584.33 / $2,083.33	Professional		$1,279.72	$1,584.33	$2,083.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.96 / $1,368.80 / $2,313.35	Professional		$845.96	$1,368.80	$2,313.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $669.19 / $847.09 / $847.09	Professional		$669.19	$847.09	$847.09