Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,319.01 / $10,122.46 / $27,982.24	Facility		$2,319.01	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.43 / $2,319.01 / $2,925.47	Professional		$1,875.43	$2,319.01	$2,925.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $20,273.81 / $38,781.51	Facility		$6,713.85	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,480.54 / $4,322.09 / $17,151.53	Professional		$2,480.54	$4,322.09	$17,151.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,871.53	Facility		$714.97	$870.49	$10,871.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.55 / $2,361.55 / $2,829.40	Professional		$2,361.55	$2,361.55	$2,829.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,775.69 / $8,209.62 / $26,311.49	Facility		$5,775.69	$8,209.62	$26,311.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,982.78 / $8,158.43 / $11,345.70	Professional		$5,982.78	$8,158.43	$11,345.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,406.59 / $4,390.91 / $8,301.07	Facility		$1,406.59	$4,390.91	$8,301.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,685.79 / $2,829.81 / $8,497.21	Facility		$2,685.79	$2,829.81	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,935.56 / $4,161.50 / $5,337.73	Professional		$2,935.56	$4,161.50	$5,337.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,096.00 / $3,770.68 / $5,278.72	Professional		$3,096.00	$3,770.68	$5,278.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.27 / $2,474.17 / $5,312.00	Professional		$699.27	$2,474.17	$5,312.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,997.73 / $1,997.73 / $2,109.92	Professional		$1,997.73	$1,997.73	$2,109.92