Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.50 / $1,419.51 / $3,072.49	Professional		$999.50	$1,419.51	$3,072.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.82 / $18,220.34 / $35,644.43	Facility		$1,590.82	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.48 / $2,615.21 / $10,494.00	Professional		$1,631.48	$2,615.21	$10,494.00
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 $1,133.00 / $2,026.49 / $3,456.74	Professional		$1,133.00	$2,026.49	$3,456.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,055.31 / $3,092.71	Facility		$1,000.00	$2,055.31	$3,092.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,000.42 / $2,836.97	Professional		$1,000.00	$2,000.42	$2,836.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $629.04 / $2,230.98	Professional		$140.25	$629.04	$2,230.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,492.39 / $2,139.31 / $2,332.27	Facility		$1,492.39	$2,139.31	$2,332.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,528.88 / $1,528.88 / $1,590.82	Facility		$1,528.88	$1,528.88	$1,590.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,765.93 / $2,530.69 / $3,157.62	Professional		$1,765.93	$2,530.69	$3,157.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,559.25 / $2,264.32 / $3,014.55	Professional		$1,559.25	$2,264.32	$3,014.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.65 / $1,776.49 / $3,265.14	Professional		$1,285.65	$1,776.49	$3,265.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $967.34 / $1,233.59	Professional		$967.34	$967.34	$1,233.59