Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,032.52 / $13,147.68 / $23,856.49	Facility		$2,032.52	$13,147.68	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,391.57 / $1,579.21 / $3,216.98	Professional		$1,391.57	$1,579.21	$3,216.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,191.32 / $9,172.83 / $20,286.13	Facility		$2,191.32	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,097.81 / $3,527.40 / $14,268.77	Professional		$2,097.81	$3,527.40	$14,268.77
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 $1,636.34 / $2,857.56 / $4,829.43	Professional		$1,636.34	$2,857.56	$4,829.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,603.28 / $2,833.38 / $4,785.55	Facility		$1,603.28	$2,833.38	$4,785.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,534.77 / $2,697.75 / $4,462.50	Professional		$1,534.77	$2,697.75	$4,462.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,098.16 / $3,068.47 / $3,212.65	Facility		$2,098.16	$3,068.47	$3,212.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.54 / $2,134.54 / $2,191.32	Facility		$2,134.54	$2,134.54	$2,191.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,439.52 / $3,486.88 / $4,349.54	Professional		$2,439.52	$3,486.88	$4,349.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,176.94 / $3,119.05 / $4,152.47	Professional		$2,176.94	$3,119.05	$4,152.47
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 $1,602.61 / $2,591.21 / $4,532.21	Professional		$1,602.61	$2,591.21	$4,532.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,847.50 / $1,847.50 / $1,847.50	Professional		$1,847.50	$1,847.50	$1,847.50