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 / $2,345.66	Professional		$756.85	$1,031.38	$2,345.66
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 $1,171.28 / $1,926.88 / $7,186.28	Professional		$1,171.28	$1,926.88	$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 $868.69 / $1,761.15 / $6,417.76	Facility		$868.69	$1,761.15	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.96 / $1,700.66 / $5,526.27	Professional		$784.96	$1,700.66	$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 $1,149.23 / $1,580.53 / $1,654.23	Facility		$1,149.23	$1,580.53	$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 $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 $990.78 / $1,344.62 / $2,365.48	Professional		$990.78	$1,344.62	$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