Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.77 / $12,619.36 / $25,612.66	Facility		$1,581.77	$12,619.36	$25,612.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.53 / $1,581.77 / $2,964.40	Professional		$916.53	$1,581.77	$2,964.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,825.72 / $19,913.50 / $38,781.51	Facility		$1,825.72	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.66 / $3,015.70 / $11,658.98	Professional		$1,771.66	$3,015.70	$11,658.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.60 / $2,831.75 / $4,380.12	Professional		$1,702.60	$2,831.75	$4,380.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,255.16 / $3,410.27 / $17,997.75	Facility		$1,255.16	$3,410.27	$17,997.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.13 / $2,101.02 / $7,292.72	Professional		$1,004.13	$2,101.02	$7,292.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.77 / $2,562.01 / $2,676.65	Facility		$1,751.77	$2,562.01	$2,676.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,660.25 / $1,825.72 / $6,526.97	Facility		$1,660.25	$1,825.72	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,012.16 / $2,890.00 / $3,623.86	Professional		$2,012.16	$2,890.00	$3,623.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,693.23 / $2,563.19 / $3,459.67	Professional		$1,693.23	$2,563.19	$3,459.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.89 / $1,862.43 / $3,781.86	Professional		$988.89	$1,862.43	$3,781.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,104.72 / $1,104.72 / $1,104.72	Professional		$1,104.72	$1,104.72	$1,104.72