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 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.64 / $1,381.81 / $3,188.78	Professional		$1,068.64	$1,381.81	$3,188.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $18,877.79 / $36,111.08	Facility		$5,433.20	$18,877.79	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,564.66 / $2,508.33 / $9,367.50	Professional		$1,564.66	$2,508.33	$9,367.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $9,275.49	Facility		$883.20	$1,075.31	$9,275.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.63 / $1,991.50 / $3,312.68	Professional		$1,168.63	$1,991.50	$3,312.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,200.48 / $2,400.25 / $8,134.30	Facility		$1,200.48	$2,400.25	$8,134.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.03 / $2,316.19 / $7,004.36	Professional		$1,122.03	$2,316.19	$7,004.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $1,111.58 / $2,374.01	Professional		$184.43	$1,111.58	$2,374.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,605.24 / $2,109.02 / $2,193.00	Facility		$1,605.24	$2,109.02	$2,193.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,460.93 / $1,489.36 / $5,433.20	Facility		$1,460.93	$1,489.36	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,673.96 / $2,386.50 / $2,956.24	Professional		$1,673.96	$2,386.50	$2,956.24
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 $1,489.95 / $2,136.00 / $2,855.12	Professional		$1,489.95	$2,136.00	$2,855.12
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 $1,345.47 / $1,761.16 / $3,145.59	Professional		$1,345.47	$1,761.16	$3,145.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $897.22 / $897.22 / $1,163.00	Professional		$897.22	$897.22	$1,163.00