Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,857.10 / $6,032.18 / $23,000.00	Facility		$2,857.10	$6,032.18	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.51 / $2,857.10 / $6,275.08	Professional		$2,018.51	$2,857.10	$6,275.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $44,362.53 / $90,281.73	Facility		$5,000.00	$44,362.53	$90,281.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,223.68 / $5,317.17 / $21,375.08	Professional		$3,223.68	$5,317.17	$21,375.08
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 $2,325.71 / $4,089.14 / $6,949.54	Professional		$2,325.71	$4,089.14	$6,949.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,069.87 / $3,925.00 / $6,293.62	Facility		$2,069.87	$3,925.00	$6,293.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,069.87 / $3,904.45 / $5,799.27	Professional		$2,069.87	$3,904.45	$5,799.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.63 / $1,302.78 / $4,507.16	Professional		$217.63	$1,302.78	$4,507.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,992.27 / $4,137.92 / $4,726.18	Facility		$2,992.27	$4,137.92	$4,726.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,114.38 / $3,114.38 / $3,223.68	Facility		$3,114.38	$3,114.38	$3,223.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,589.74 / $5,128.26 / $6,398.68	Professional		$3,589.74	$5,128.26	$6,398.68
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 $3,176.25 / $4,588.49 / $6,108.76	Professional		$3,176.25	$4,588.49	$6,108.76
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 $2,575.48 / $3,807.60 / $6,746.92	Professional		$2,575.48	$3,807.60	$6,746.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,955.94 / $1,955.94 / $2,449.92	Professional		$1,955.94	$1,955.94	$2,449.92