Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $24,827.00	Facility		$1,733.00	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.18 / $1,286.82 / $2,875.13	Professional		$937.18	$1,286.82	$2,875.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $15,449.66 / $31,745.76	Facility		$1,771.02	$15,449.66	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.02 / $2,377.39 / $8,760.75	Professional		$1,422.02	$2,377.39	$8,760.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.32 / $1,812.69 / $3,058.26	Professional		$1,012.32	$1,812.69	$3,058.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,040.52 / $2,117.09 / $5,194.27	Facility		$1,040.52	$2,117.09	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.65 / $2,093.50 / $4,127.78	Professional		$972.65	$2,093.50	$4,127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $607.32 / $1,976.21	Professional		$81.45	$607.32	$1,976.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,411.35 / $1,951.71 / $2,025.41	Facility		$1,411.35	$1,951.71	$2,025.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,354.92 / $1,381.51 / $5,317.93	Facility		$1,354.92	$1,381.51	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,551.16 / $2,213.34 / $2,742.16	Professional		$1,551.16	$2,213.34	$2,742.16
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 $1,381.84 / $1,983.14 / $2,656.72	Professional		$1,381.84	$1,983.14	$2,656.72
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 $1,226.94 / $1,847.80 / $2,914.83	Professional		$1,226.94	$1,847.80	$2,914.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.52 / $839.52 / $1,084.08	Professional		$839.52	$839.52	$1,084.08