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 $1,008.89 / $1,385.52 / $3,065.82	Professional		$1,008.89	$1,385.52	$3,065.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.17 / $2,485.10 / $9,579.08	Professional		$1,562.17	$2,485.10	$9,579.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $21,266.88	Facility		$1,005.16	$1,223.70	$21,266.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.79 / $1,956.35 / $3,312.67	Professional		$1,133.79	$1,956.35	$3,312.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,144.07 / $2,384.71 / $16,872.40	Facility		$1,144.07	$2,384.71	$16,872.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.19 / $2,272.15 / $16,059.64	Professional		$1,061.19	$2,272.15	$16,059.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $631.56 / $2,128.24	Professional		$116.51	$631.56	$2,128.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.41 / $2,089.06 / $2,204.30	Facility		$1,523.41	$2,089.06	$2,204.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,464.55 / $1,503.53 / $19,763.20	Facility		$1,464.55	$1,503.53	$19,763.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,678.07 / $2,392.42 / $2,984.36	Professional		$1,678.07	$2,392.42	$2,984.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,493.65 / $2,142.67 / $2,874.08	Professional		$1,493.65	$2,142.67	$2,874.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.99 / $1,760.08 / $3,111.58	Professional		$1,323.99	$1,760.08	$3,111.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $914.61 / $914.61 / $1,178.89	Professional		$914.61	$914.61	$1,178.89