Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,575.55 / $6,898.07 / $21,917.86	Facility		$3,575.55	$6,898.07	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,611.71 / $3,575.55 / $7,745.22	Professional		$2,611.71	$3,575.55	$7,745.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $19,823.93 / $38,781.51	Facility		$2,000.00	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,998.40 / $6,432.65 / $24,747.75	Professional		$3,998.40	$6,432.65	$24,747.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,861.20 / $5,046.85 / $8,528.07	Professional		$2,861.20	$5,046.85	$8,528.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,555.88 / $5,179.02 / $7,851.50	Facility		$2,555.88	$5,179.02	$7,851.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,555.88 / $5,163.04 / $7,292.72	Professional		$2,555.88	$5,163.04	$7,292.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.66 / $1,597.02 / $5,474.10	Professional		$294.66	$1,597.02	$5,474.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,371.64 / $4,780.59 / $5,695.00	Facility		$3,371.64	$4,780.59	$5,695.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $3,799.31 / $6,526.97	Facility		$2,173.66	$3,799.31	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,343.67 / $6,206.38 / $7,710.35	Professional		$4,343.67	$6,206.38	$7,710.35
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 $3,874.79 / $5,529.08 / $7,366.97	Professional		$3,874.79	$5,529.08	$7,366.97
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 $3,173.27 / $4,534.74 / $8,162.33	Professional		$3,173.27	$4,534.74	$8,162.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,363.69 / $2,363.69 / $3,015.82	Professional		$2,363.69	$2,363.69	$3,015.82