Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.63 / $5,526.77 / $23,000.00	Facility		$2,851.63	$5,526.77	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.97 / $2,851.63 / $6,292.93	Professional		$2,044.97	$2,851.63	$6,292.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $44,238.76 / $90,281.73	Facility		$5,000.00	$44,238.76	$90,281.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,227.82 / $5,317.17 / $21,378.83	Professional		$3,227.82	$5,317.17	$21,378.83
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 $2,335.50 / $4,083.63 / $6,934.73	Professional		$2,335.50	$4,083.63	$6,934.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,082.56 / $4,280.31 / $6,385.40	Facility		$2,082.56	$4,280.31	$6,385.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,082.56 / $4,130.18 / $5,791.55	Professional		$2,082.56	$4,130.18	$5,791.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.06 / $1,323.91 / $4,390.38	Professional		$220.06	$1,323.91	$4,390.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,866.01 / $4,102.84 / $4,722.83	Facility		$2,866.01	$4,102.84	$4,722.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,115.73 / $3,115.73 / $3,221.39	Facility		$3,115.73	$3,115.73	$3,221.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,589.99 / $5,124.62 / $6,394.15	Professional		$3,589.99	$5,124.62	$6,394.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,438.60 / $47,196.58 / $90,281.73	Facility		$34,438.60	$47,196.58	$90,281.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,177.64 / $4,585.24 / $6,149.44	Professional		$3,177.64	$4,585.24	$6,149.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $24,236.00	Facility		$3,340.00	$8,600.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,632.04 / $3,818.42 / $6,729.14	Professional		$2,632.04	$3,818.42	$6,729.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,955.11 / $1,955.11 / $2,440.76	Professional		$1,955.11	$1,955.11	$2,440.76