Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $6,150.00 / $24,827.00	Facility		$1,560.00	$6,150.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.97 / $1,498.37 / $3,214.59	Professional		$1,023.97	$1,498.37	$3,214.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,005.11 / $19,913.50 / $27,396.88	Facility		$10,005.11	$19,913.50	$27,396.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.04 / $2,560.42 / $9,882.90	Professional		$1,600.04	$2,560.42	$9,882.90
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 $1,174.16 / $2,018.89 / $3,426.05	Professional		$1,174.16	$2,018.89	$3,426.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,190.74 / $2,426.42 / $7,292.72	Facility		$1,190.74	$2,426.42	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,082.63 / $2,339.57 / $6,279.70	Professional		$1,082.63	$2,339.57	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $630.33 / $2,158.59	Professional		$155.55	$630.33	$2,158.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,601.00 / $2,146.67 / $2,275.98	Facility		$1,601.00	$2,146.67	$2,275.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,506.23 / $1,552.43 / $6,526.97	Facility		$1,506.23	$1,552.43	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,728.94 / $2,469.62 / $3,081.42	Professional		$1,728.94	$2,469.62	$3,081.42
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 $1,536.15 / $2,209.67 / $2,961.20	Professional		$1,536.15	$2,209.67	$2,961.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.68 / $1,835.74 / $3,196.74	Professional		$1,345.68	$1,835.74	$3,196.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $941.67 / $941.67 / $1,218.33	Professional		$941.67	$941.67	$1,218.33