Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.99 / $1,598.28 / $3,590.03	Professional		$1,060.99	$1,598.28	$3,590.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,522.34 / $17,546.59	Facility		$2,961.46	$9,522.34	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,752.16 / $2,860.98 / $11,026.80	Professional		$1,752.16	$2,860.98	$11,026.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.68 / $2,209.71 / $3,813.79	Professional		$1,051.68	$2,209.71	$3,813.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $730.36 / $1,820.53 / $3,474.71	Facility		$730.36	$1,820.53	$3,474.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.67 / $1,844.83 / $3,280.24	Professional		$732.67	$1,844.83	$3,280.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $722.49 / $2,475.00	Professional		$157.08	$722.49	$2,475.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,185.97 / $2,411.33 / $2,537.96	Facility		$1,185.97	$2,411.33	$2,537.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,679.27 / $2,961.46	Facility		$986.25	$1,679.27	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,931.89 / $2,753.88 / $3,436.09	Professional		$1,931.89	$2,753.88	$3,436.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,712.63 / $2,464.02 / $3,280.41	Professional		$1,712.63	$2,464.02	$3,280.41
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 $905.95 / $2,068.00 / $3,630.29	Professional		$905.95	$2,068.00	$3,630.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,054.30 / $1,054.30 / $1,355.31	Professional		$1,054.30	$1,054.30	$1,355.31