Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $24,827.00	Facility		$1,733.00	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.14 / $1,242.44 / $2,672.87	Professional		$903.14	$1,242.44	$2,672.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.86 / $2,298.96 / $8,568.90	Professional		$1,384.86	$2,298.96	$8,568.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $8,315.84	Facility		$1,394.89	$1,698.13	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.33 / $1,752.60 / $2,966.96	Professional		$1,014.33	$1,752.60	$2,966.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,024.85 / $2,128.55 / $7,292.72	Facility		$1,024.85	$2,128.55	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.53 / $2,019.12 / $6,279.70	Professional		$946.53	$2,019.12	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $608.04 / $1,919.55	Professional		$81.90	$608.04	$1,919.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,369.55 / $1,834.66 / $1,972.48	Facility		$1,369.55	$1,834.66	$1,972.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.61 / $1,345.41 / $6,526.97	Facility		$1,309.61	$1,345.41	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,502.35 / $2,140.29 / $2,670.50	Professional		$1,502.35	$2,140.29	$2,670.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,335.64 / $1,917.73 / $2,573.12	Professional		$1,335.64	$1,917.73	$2,573.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.35 / $1,572.48 / $2,779.93	Professional		$1,179.35	$1,572.48	$2,779.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $819.09 / $819.09 / $1,057.97	Professional		$819.09	$819.09	$1,057.97