Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.18 / $11,522.02 / $22,024.00	Facility		$1,381.18	$11,522.02	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.73 / $1,381.18 / $1,595.26	Professional		$954.73	$1,381.18	$1,595.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,509.01 / $35,815.01 / $70,064.83	Facility		$1,509.01	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.18 / $2,441.19 / $9,636.45	Professional		$1,487.18	$2,441.19	$9,636.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.02 / $1,957.78 / $3,325.79	Professional		$1,104.02	$1,957.78	$3,325.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,017.42 / $2,072.30 / $2,942.96	Facility		$1,017.42	$2,072.30	$2,942.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.42 / $2,052.02 / $2,701.51	Professional		$1,017.42	$2,052.02	$2,701.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $497.12 / $855.05	Professional		$75.00	$497.12	$855.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,452.88 / $2,139.42 / $2,212.34	Facility		$1,452.88	$2,139.42	$2,212.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.21 / $1,458.21 / $1,509.01	Facility		$1,458.21	$1,458.21	$1,509.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,678.77 / $2,400.55 / $2,995.24	Professional		$1,678.77	$2,400.55	$2,995.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,487.18 / $2,147.88 / $2,859.53	Professional		$1,487.18	$2,147.88	$2,859.53
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 $1,242.81 / $1,797.39 / $3,155.25	Professional		$1,242.81	$1,797.39	$3,155.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,391.85 / $1,391.85 / $1,391.85	Professional		$1,391.85	$1,391.85	$1,391.85