Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,325.22 / $7,517.54 / $21,917.86	Facility		$3,325.22	$7,517.54	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.12 / $3,325.22 / $7,517.54	Professional		$2,429.12	$3,325.22	$7,517.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,534.76 / $18,633.84 / $35,644.43	Facility		$3,534.76	$18,633.84	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,793.06 / $6,053.72 / $23,008.28	Professional		$3,793.06	$6,053.72	$23,008.28
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 $2,769.01 / $4,695.64 / $7,931.04	Professional		$2,769.01	$4,695.64	$7,931.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,539.25 / $5,199.99 / $7,273.13	Facility		$2,539.25	$5,199.99	$7,273.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,514.41 / $5,005.85 / $6,659.34	Professional		$2,514.41	$5,005.85	$6,659.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.86 / $1,508.18 / $5,128.61	Professional		$292.86	$1,508.18	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,757.32 / $5,103.22 / $5,295.01	Facility		$3,757.32	$5,103.22	$5,295.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,523.84 / $3,534.76 / $10,581.24	Facility		$3,523.84	$3,534.76	$10,581.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,040.01 / $5,774.22 / $7,168.81	Professional		$4,040.01	$5,774.22	$7,168.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,604.99 / $5,140.75 / $6,847.24	Professional		$3,604.99	$5,140.75	$6,847.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,149.76 / $4,270.77 / $7,591.73	Professional		$3,149.76	$4,270.77	$7,591.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,197.21 / $2,197.21 / $2,805.23	Professional		$2,197.21	$2,197.21	$2,805.23