Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,500.00 / $18,711.00	Facility		$1,733.00	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.70 / $1,315.22 / $2,924.49	Professional		$964.70	$1,315.22	$2,924.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,684.21 / $16,394.00 / $31,745.76	Facility		$5,684.21	$16,394.00	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.97 / $2,177.08 / $9,057.00	Professional		$1,390.97	$2,177.08	$9,057.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.07 / $1,905.74 / $3,033.72	Professional		$1,115.07	$1,905.74	$3,033.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,167.09 / $2,367.19 / $6,059.92	Facility		$1,167.09	$2,367.19	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.39 / $2,290.66 / $5,218.14	Professional		$1,094.39	$2,290.66	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $570.59 / $1,925.87	Professional		$80.21	$570.59	$1,925.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,567.84 / $1,946.87 / $2,168.12	Facility		$1,567.84	$1,946.87	$2,168.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.33 / $1,351.35 / $5,317.93	Facility		$1,341.33	$1,351.35	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,516.74 / $2,149.73 / $2,682.29	Professional		$1,516.74	$2,149.73	$2,682.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,367.98 / $1,943.93 / $2,622.40	Professional		$1,367.98	$1,943.93	$2,622.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,016.00 / $20,507.66 / $33,842.43	Facility		$4,016.00	$20,507.66	$33,842.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,262.93 / $1,653.84 / $2,895.73	Professional		$1,262.93	$1,653.84	$2,895.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $822.13 / $822.13 / $1,076.39	Professional		$822.13	$822.13	$1,076.39