Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $5,765.51 / $23,000.00	Facility		$2,550.04	$5,765.51	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.36 / $2,550.04 / $5,611.89	Professional		$1,839.36	$2,550.04	$5,611.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $34,332.32 / $70,064.83	Facility		$5,000.00	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,962.58 / $4,661.28 / $19,090.65	Professional		$2,962.58	$4,661.28	$19,090.65
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 $2,091.03 / $3,649.61 / $6,201.28	Professional		$2,091.03	$3,649.61	$6,201.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,910.65 / $3,823.86 / $5,701.21	Facility		$1,910.65	$3,823.86	$5,701.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,910.65 / $3,687.64 / $5,175.87	Professional		$1,910.65	$3,687.64	$5,175.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $1,214.20 / $3,917.68	Professional		$219.14	$1,214.20	$3,917.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,924.93 / $3,929.05 / $4,219.66	Facility		$2,924.93	$3,929.05	$4,219.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,782.33 / $2,782.33 / $2,878.19	Facility		$2,782.33	$2,782.33	$2,878.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,206.11 / $4,578.64 / $5,712.92	Professional		$3,206.11	$4,578.64	$5,712.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,890.63 / $36,606.86 / $70,064.83	Facility		$23,890.63	$36,606.86	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,837.60 / $4,096.72 / $5,454.07	Professional		$2,837.60	$4,096.72	$5,454.07
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 $2,425.48 / $3,405.17 / $6,024.72	Professional		$2,425.48	$3,405.17	$6,024.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,746.40 / $1,746.40 / $2,184.67	Professional		$1,746.40	$1,746.40	$2,184.67