Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,140.47 / $5,481.96 / $22,024.00	Facility		$3,140.47	$5,481.96	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,251.44 / $3,140.47 / $6,680.90	Professional		$2,251.44	$3,140.47	$6,680.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,315.08 / $16,595.73 / $33,817.44	Facility		$3,315.08	$16,595.73	$33,817.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,412.28 / $5,668.67 / $21,027.98	Professional		$3,412.28	$5,668.67	$21,027.98
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 $2,492.67 / $4,360.81 / $7,365.04	Professional		$2,492.67	$4,360.81	$7,365.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,385.76 / $4,423.25 / $6,300.85	Facility		$2,385.76	$4,423.25	$6,300.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,385.76 / $4,286.24 / $6,064.44	Professional		$2,385.76	$4,286.24	$6,064.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $1,351.82 / $4,746.91	Professional		$255.08	$1,351.82	$4,746.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,055.00 / $4,197.96 / $4,860.18	Facility		$3,055.00	$4,197.96	$4,860.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,260.69 / $3,260.69 / $3,315.08	Facility		$3,260.69	$3,260.69	$3,315.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,727.11 / $5,326.52 / $6,580.10	Professional		$3,727.11	$5,326.52	$6,580.10
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 $3,325.48 / $4,718.58 / $6,357.46	Professional		$3,325.48	$4,718.58	$6,357.46
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 $2,798.63 / $3,989.70 / $7,003.75	Professional		$2,798.63	$3,989.70	$7,003.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,017.23 / $2,017.23 / $2,614.28	Professional		$2,017.23	$2,017.23	$2,614.28