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 $930.32 / $1,279.90 / $2,805.60	Professional		$930.32	$1,279.90	$2,805.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $35,057.57 / $71,345.31	Facility		$11,500.00	$35,057.57	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.02 / $2,318.17 / $8,827.58	Professional		$1,441.02	$2,318.17	$8,827.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $15,711.66	Facility		$1,005.16	$1,223.70	$15,711.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.09 / $1,804.90 / $3,056.46	Professional		$1,046.09	$1,804.90	$3,056.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,056.76 / $2,181.94 / $13,778.60	Facility		$1,056.76	$2,181.94	$13,778.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.71 / $2,082.19 / $11,864.63	Professional		$970.71	$2,082.19	$11,864.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $622.70 / $1,925.26	Professional		$81.90	$622.70	$1,925.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,379.35 / $1,899.45 / $2,032.11	Facility		$1,379.35	$1,899.45	$2,032.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.39 / $1,386.08 / $13,091.98	Facility		$1,350.39	$1,386.08	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.05 / $2,205.94 / $2,751.23	Professional		$1,547.05	$2,205.94	$2,751.23
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 $1,377.22 / $1,976.47 / $2,649.68	Professional		$1,377.22	$1,976.47	$2,649.68
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 $1,203.99 / $1,592.24 / $2,907.11	Professional		$1,203.99	$1,592.24	$2,907.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $844.76 / $844.76 / $1,090.79	Professional		$844.76	$844.76	$1,090.79