Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,945.78 / $9,510.78 / $22,024.00	Facility		$4,945.78	$9,510.78	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,809.31 / $4,945.78 / $11,392.70	Professional		$3,809.31	$4,945.78	$11,392.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,376.15 / $46,149.28 / $90,281.73	Facility		$5,376.15	$46,149.28	$90,281.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,619.66 / $9,012.45 / $34,254.15	Professional		$5,619.66	$9,012.45	$34,254.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,145.18 / $7,081.44 / $11,789.96	Professional		$4,145.18	$7,081.44	$11,789.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,843.17 / $7,339.96 / $10,867.10	Facility		$3,843.17	$7,339.96	$10,867.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,792.03 / $7,108.11 / $9,902.41	Professional		$3,792.03	$7,108.11	$9,902.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $408.47 / $2,227.13 / $7,580.40	Professional		$408.47	$2,227.13	$7,580.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,681.06 / $7,586.22 / $7,881.88	Facility		$5,681.06	$7,586.22	$7,881.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,268.39 / $5,268.39 / $5,376.15	Facility		$5,268.39	$5,268.39	$5,376.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,014.54 / $8,606.20 / $10,671.12	Professional		$6,014.54	$8,606.20	$10,671.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,050.80 / $47,196.58 / $90,281.73	Facility		$36,050.80	$47,196.58	$90,281.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,373.06 / $7,652.25 / $10,217.56	Professional		$5,373.06	$7,652.25	$10,217.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,809.84 / $6,527.63 / $11,337.47	Professional		$4,809.84	$6,527.63	$11,337.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,269.47 / $3,269.47 / $4,159.10	Professional		$3,269.47	$3,269.47	$4,159.10