Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.59 / $1,325.29 / $2,686.30	Professional		$877.59	$1,325.29	$2,686.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,228.12 / $19,913.50 / $38,781.51	Facility		$9,228.12	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.81 / $2,161.71 / $8,326.65	Professional		$1,345.81	$2,161.71	$8,326.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,315.84	Facility		$1,005.16	$1,223.70	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.40 / $1,701.92 / $2,881.62	Professional		$990.40	$1,701.92	$2,881.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.34 / $2,080.98 / $7,292.72	Facility		$1,000.34	$2,080.98	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,972.72 / $6,279.70	Professional		$926.25	$1,972.72	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $600.91 / $1,875.25	Professional		$81.78	$600.91	$1,875.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,358.76 / $1,830.44 / $1,916.87	Facility		$1,358.76	$1,830.44	$1,916.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,274.29 / $1,307.48 / $9,228.12	Facility		$1,274.29	$1,307.48	$9,228.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,459.71 / $2,081.62 / $2,595.21	Professional		$1,459.71	$2,081.62	$2,595.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,299.60 / $1,867.00 / $2,500.08	Professional		$1,299.60	$1,867.00	$2,500.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $5,851.00 / $19,271.00	Facility		$2,853.00	$5,851.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.50 / $1,546.09 / $2,706.81	Professional		$1,165.50	$1,546.09	$2,706.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.18 / $796.18 / $1,026.55	Professional		$796.18	$796.18	$1,026.55