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 / $22,024.00	Facility		$1,733.00	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.91 / $1,401.06 / $2,965.64	Professional		$1,002.91	$1,401.06	$2,965.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,530.49 / $20,262.22 / $38,781.51	Facility		$1,530.49	$20,262.22	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.37 / $2,495.75 / $9,750.75	Professional		$1,575.37	$2,495.75	$9,750.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,904.53	Facility		$714.97	$870.49	$10,904.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.48 / $1,971.26 / $3,379.20	Professional		$1,121.48	$1,971.26	$3,379.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,163.21 / $2,362.17 / $9,562.90	Facility		$1,163.21	$2,362.17	$9,562.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,059.79 / $2,288.10 / $8,234.53	Professional		$1,059.79	$2,288.10	$8,234.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $629.13 / $2,142.24	Professional		$153.69	$629.13	$2,142.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,552.82 / $2,101.79 / $2,243.83	Facility		$1,552.82	$2,101.79	$2,243.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,471.80 / $1,530.49 / $8,527.71	Facility		$1,471.80	$1,530.49	$8,527.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.26 / $2,434.71 / $3,037.88	Professional		$1,685.26	$2,434.71	$3,037.88
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 $1,501.04 / $2,171.69 / $2,900.23	Professional		$1,501.04	$2,171.69	$2,900.23
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 $1,314.50 / $1,736.35 / $3,125.43	Professional		$1,314.50	$1,736.35	$3,125.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,209.05	Professional		$932.55	$932.55	$1,209.05