Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.80 / $1,245.93 / $2,788.66	Professional		$923.80	$1,245.93	$2,788.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $18,458.89 / $36,111.08	Facility		$5,433.20	$18,458.89	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.03 / $2,339.10 / $8,907.37	Professional		$1,521.03	$2,339.10	$8,907.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $7,318.13	Facility		$714.97	$870.49	$7,318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.97 / $1,868.45 / $3,012.11	Professional		$1,075.97	$1,868.45	$3,012.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,135.67 / $2,234.58 / $6,417.76	Facility		$1,135.67	$2,234.58	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.08 / $2,136.26 / $5,526.27	Professional		$1,042.08	$2,136.26	$5,526.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $434.63 / $2,080.09	Professional		$106.04	$434.63	$2,080.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,516.06 / $1,929.71 / $2,093.08	Facility		$1,516.06	$1,929.71	$2,093.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,362.62 / $1,382.43 / $5,433.20	Facility		$1,362.62	$1,382.43	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,546.02 / $2,225.92 / $2,743.98	Professional		$1,546.02	$2,225.92	$2,743.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,389.70 / $1,987.82 / $2,647.92	Professional		$1,389.70	$1,987.82	$2,647.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.46 / $1,667.47 / $3,027.06	Professional		$1,256.46	$1,667.47	$3,027.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.80 / $839.80 / $1,058.27	Professional		$839.80	$839.80	$1,058.27