Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,449.00 / $8,617.81 / $20,987.47	Facility		$3,449.00	$8,617.81	$20,987.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.22 / $2,807.44 / $6,048.69	Professional		$2,001.22	$2,807.44	$6,048.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,016.66 / $16,595.73 / $31,745.76	Facility		$3,016.66	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,105.11 / $5,198.82 / $19,652.56	Professional		$3,105.11	$5,198.82	$19,652.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,255.84 / $3,956.82 / $6,815.39	Professional		$2,255.84	$3,956.82	$6,815.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,338.12 / $4,304.07 / $6,016.76	Facility		$2,338.12	$4,304.07	$6,016.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,186.12 / $4,267.01 / $5,772.11	Professional		$2,186.12	$4,267.01	$5,772.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $1,242.65 / $4,288.53	Professional		$255.08	$1,242.65	$4,288.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,153.06 / $4,117.14 / $4,428.16	Facility		$3,153.06	$4,117.14	$4,428.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,966.70 / $2,966.70 / $3,016.66	Facility		$2,966.70	$2,966.70	$3,016.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,391.08 / $4,846.26 / $5,987.77	Professional		$3,391.08	$4,846.26	$5,987.77
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 $3,025.64 / $4,293.82 / $5,736.42	Professional		$3,025.64	$4,293.82	$5,736.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $4,785.00 / $16,315.00	Facility		$2,225.00	$4,785.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,685.36 / $3,547.28 / $6,372.32	Professional		$2,685.36	$3,547.28	$6,372.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,833.92 / $1,833.92 / $2,356.48	Professional		$1,833.92	$1,833.92	$2,356.48