Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.96 / $11,522.02 / $22,024.00	Facility		$1,253.96	$11,522.02	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.27 / $1,253.96 / $1,422.10	Professional		$1,100.27	$1,253.96	$1,422.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $20,273.81 / $38,781.51	Facility		$12,154.00	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.04 / $2,810.38 / $10,442.10	Professional		$1,653.04	$2,810.38	$10,442.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,540.05	Facility		$714.97	$870.49	$10,540.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,915.69 / $8,116.17 / $30,143.05	Facility		$5,915.69	$8,116.17	$30,143.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,572.80 / $7,909.67 / $10,999.76	Professional		$4,572.80	$7,909.67	$10,999.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,963.05 / $6,043.02 / $8,538.08	Facility		$1,963.05	$6,043.02	$8,538.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,620.83 / $1,635.15 / $8,497.21	Facility		$1,620.83	$1,635.15	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,787.21 / $2,601.21 / $3,245.60	Professional		$1,787.21	$2,601.21	$3,245.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,653.04 / $2,290.98 / $3,151.86	Professional		$1,653.04	$2,290.98	$3,151.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,547.00 / $24,764.99 / $40,868.01	Facility		$5,547.00	$24,764.99	$40,868.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.61 / $2,075.25 / $3,455.52	Professional		$1,512.61	$2,075.25	$3,455.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,186.30 / $2,186.30 / $2,186.30	Professional		$2,186.30	$2,186.30	$2,186.30