Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.72 / $5,128.00 / $20,680.40	Facility		$1,505.72	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.85 / $1,031.38 / $2,287.19	Professional		$756.85	$1,031.38	$2,287.19
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 $1,209.61 / $1,886.26 / $7,186.28	Professional		$1,209.61	$1,886.26	$7,186.28
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 $851.58 / $1,468.12 / $2,487.46	Professional		$851.58	$1,468.12	$2,487.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $859.64 / $1,751.40 / $6,417.76	Facility		$859.64	$1,751.40	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.81 / $1,695.77 / $5,526.27	Professional		$783.81	$1,695.77	$5,526.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $362.19 / $1,707.02	Professional		$78.02	$362.19	$1,707.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,142.33 / $1,557.08 / $1,654.23	Facility		$1,142.33	$1,557.08	$1,654.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,097.61 / $1,128.33 / $5,433.20	Facility		$1,097.61	$1,128.33	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.81 / $1,794.96 / $2,239.63	Professional		$1,258.81	$1,794.96	$2,239.63
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 $1,119.43 / $1,607.34 / $2,156.00	Professional		$1,119.43	$1,607.34	$2,156.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,016.00 / $22,200.84 / $36,636.56	Facility		$4,016.00	$22,200.84	$36,636.56
United Facility/Professional Professional Modifier Low / Median / High Price $961.59 / $1,321.03 / $2,365.48	Professional		$961.59	$1,321.03	$2,365.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $687.13 / $687.13 / $886.70	Professional		$687.13	$687.13	$886.70