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 $934.92 / $1,285.86 / $2,840.25	Professional		$934.92	$1,285.86	$2,840.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $52,812.50 / $101,024.36	Facility		$11,500.00	$52,812.50	$101,024.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,446.56 / $2,380.59 / $8,871.45	Professional		$1,446.56	$2,380.59	$8,871.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,223.70 / $33,247.40	Facility		$765.00	$1,223.70	$33,247.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.26 / $1,813.77 / $3,071.39	Professional		$1,051.26	$1,813.77	$3,071.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,061.46 / $2,199.46 / $29,156.86	Facility		$1,061.46	$2,199.46	$29,156.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.73 / $2,092.35 / $25,106.71	Professional		$977.73	$2,092.35	$25,106.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $610.21 / $1,954.64	Professional		$81.90	$610.21	$1,954.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,406.30 / $1,932.28 / $2,042.16	Facility		$1,406.30	$1,932.28	$2,042.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,357.19 / $1,392.94 / $27,746.21	Facility		$1,357.19	$1,392.94	$27,746.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,554.76 / $2,217.04 / $2,764.84	Professional		$1,554.76	$2,217.04	$2,764.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,536.44 / $52,812.50 / $101,024.36	Facility		$38,536.44	$52,812.50	$101,024.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,384.15 / $1,985.81 / $2,662.88	Professional		$1,384.15	$1,985.81	$2,662.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.20 / $1,664.30 / $2,921.61	Professional		$1,222.20	$1,664.30	$2,921.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $849.19 / $849.19 / $1,096.23	Professional		$849.19	$849.19	$1,096.23