Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,513.81 / $5,362.27 / $23,000.00	Facility		$2,513.81	$5,362.27	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,725.14 / $2,513.81 / $5,494.46	Professional		$1,725.14	$2,513.81	$5,494.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,832.49 / $46,149.28 / $90,281.73	Facility		$2,832.49	$46,149.28	$90,281.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,915.54 / $4,540.04 / $18,767.03	Professional		$2,915.54	$4,540.04	$18,767.03
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 $2,100.82 / $3,543.13 / $6,113.52	Professional		$2,100.82	$3,543.13	$6,113.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,749.93 / $3,353.90 / $5,096.97	Facility		$1,749.93	$3,353.90	$5,096.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,749.93 / $3,298.77 / $5,046.09	Professional		$1,749.93	$3,298.77	$5,046.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $1,145.92 / $3,933.93	Professional		$214.10	$1,145.92	$3,933.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,687.04 / $3,801.85 / $4,152.66	Facility		$2,687.04	$3,801.85	$4,152.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.31 / $2,734.31 / $2,832.49	Facility		$2,734.31	$2,734.31	$2,832.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,151.55 / $4,505.95 / $5,622.21	Professional		$3,151.55	$4,505.95	$5,622.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,050.80 / $47,196.58 / $90,281.73	Facility		$36,050.80	$47,196.58	$90,281.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,788.63 / $4,031.68 / $5,367.47	Professional		$2,788.63	$4,031.68	$5,367.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,281.10 / $3,349.40 / $5,923.35	Professional		$2,281.10	$3,349.40	$5,923.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,719.62 / $1,719.62 / $2,159.79	Professional		$1,719.62	$1,719.62	$2,159.79