Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,727.08 / $4,126.57 / $6,582.01	Facility		$2,727.08	$4,126.57	$6,582.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,924.20 / $2,727.08 / $6,582.01	Professional		$1,924.20	$2,727.08	$6,582.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.82 / $15,555.67 / $31,745.76	Facility		$1,909.82	$15,555.67	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,866.25 / $4,469.26 / $15,904.32	Professional		$2,866.25	$4,469.26	$15,904.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,136.07	Facility		$714.97	$870.49	$2,136.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,263.44 / $3,750.25 / $5,918.60	Professional		$2,263.44	$3,750.25	$5,918.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,850.08 / $3,896.12 / $6,011.65	Facility		$1,850.08	$3,896.12	$6,011.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,873.26 / $3,762.30 / $5,673.68	Professional		$1,873.26	$3,762.30	$5,673.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $1,254.63 / $4,243.69	Professional		$236.06	$1,254.63	$4,243.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,068.98 / $4,238.00 / $4,852.81	Facility		$3,068.98	$4,238.00	$4,852.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.02 / $2,810.41 / $2,900.58	Facility		$636.02	$2,810.41	$2,900.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,863.85 / $4,066.11 / $5,249.49	Professional		$2,863.85	$4,066.11	$5,249.49
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 $2,466.31 / $3,752.16 / $5,224.02	Professional		$2,466.31	$3,752.16	$5,224.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,658.50 / $3,548.43 / $6,076.86	Professional		$2,658.50	$3,548.43	$6,076.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,788.64 / $1,855.34 / $2,325.73	Professional		$1,788.64	$1,855.34	$2,325.73