Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,580.50 / $10,122.46 / $22,024.00	Facility		$3,580.50	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,861.66 / $3,761.53 / $4,705.58	Professional		$2,861.66	$3,761.53	$4,705.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,225.65 / $1,225.65 / $1,225.65	Professional		$1,225.65	$1,225.65	$1,225.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,787.75 / $50,896.70 / $70,339.75	Facility		$13,787.75	$50,896.70	$70,339.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $6,260.36 / $16,371.29	Professional		$75.00	$6,260.36	$16,371.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $22,252.60	Facility		$500.00	$870.49	$22,252.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,500.50 / $37,026.48 / $114,379.58	Facility		$12,500.50	$37,026.48	$114,379.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,333.59 / $9,728.00 / $14,460.71	Facility		$3,333.59	$9,728.00	$14,460.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,339.30 / $9,593.00 / $13,787.75	Facility		$6,339.30	$9,593.00	$13,787.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30,663.73 / $50,896.70 / $99,569.09	Facility		$30,663.73	$50,896.70	$99,569.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,457.14 / $7,250.21 / $9,449.60	Professional		$5,457.14	$7,250.21	$9,449.60
United Facility/Professional Facility Modifier Low / Median / High Price $16,994.23 / $17,802.75 / $18,319.82	Facility		$16,994.23	$17,802.75	$18,319.82
United Facility/Professional Professional Modifier Low / Median / High Price $4,013.29 / $4,355.43 / $10,769.03	Professional		$4,013.29	$4,355.43	$10,769.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $766.03 / $1,409.66 / $4,248.00	Professional		$766.03	$1,409.66	$4,248.00