Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.78 / $3,030.23 / $4,862.35	Facility		$2,033.78	$3,030.23	$4,862.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.62 / $2,033.78 / $4,862.35	Professional		$1,400.62	$2,033.78	$4,862.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,440.46 / $15,555.67 / $31,745.76	Facility		$1,440.46	$15,555.67	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,134.44 / $3,296.10 / $11,810.40	Professional		$2,134.44	$3,296.10	$11,810.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,595.15	Facility		$714.97	$870.49	$1,595.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.19 / $2,777.63 / $4,379.68	Professional		$1,654.19	$2,777.63	$4,379.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,356.25 / $2,872.82 / $4,508.64	Facility		$1,356.25	$2,872.82	$4,508.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,375.47 / $2,795.73 / $4,187.20	Professional		$1,375.47	$2,795.73	$4,187.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $877.68 / $3,124.26	Professional		$157.37	$877.68	$3,124.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,434.60 / $3,144.90 / $3,587.18	Facility		$2,434.60	$3,144.90	$3,587.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.71 / $2,092.86 / $2,153.84	Facility		$479.71	$2,092.86	$2,153.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,112.52 / $2,998.77 / $3,911.67	Professional		$2,112.52	$2,998.77	$3,911.67
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 $1,818.55 / $2,783.88 / $3,886.06	Professional		$1,818.55	$2,783.88	$3,886.06
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 $2,048.94 / $2,716.05 / $4,537.64	Professional		$2,048.94	$2,716.05	$4,537.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,327.33 / $1,368.35 / $1,726.67	Professional		$1,327.33	$1,368.35	$1,726.67