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 $871.98 / $1,199.57 / $2,663.33	Professional		$871.98	$1,199.57	$2,663.33
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 $1,349.17 / $2,173.42 / $8,276.03	Professional		$1,349.17	$2,173.42	$8,276.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,223.70 / $23,788.27	Facility		$765.00	$1,223.70	$23,788.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.81 / $1,692.57 / $2,865.81	Professional		$969.81	$1,692.57	$2,865.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $973.14 / $2,049.28 / $20,861.52	Facility		$973.14	$2,049.28	$20,861.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $1,945.71 / $17,963.68	Professional		$910.65	$1,945.71	$17,963.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $586.47 / $1,837.79	Professional		$81.46	$586.47	$1,837.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,301.36 / $1,799.62 / $1,904.81	Facility		$1,301.36	$1,799.62	$1,904.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,264.32 / $1,299.25 / $20,825.14	Facility		$1,264.32	$1,299.25	$20,825.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.46 / $2,066.86 / $2,578.89	Professional		$1,450.46	$2,066.86	$2,578.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,215.17 / $37,275.87 / $71,345.31	Facility		$27,215.17	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,289.44 / $1,850.31 / $2,484.23	Professional		$1,289.44	$1,850.31	$2,484.23
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 $1,136.95 / $1,516.72 / $2,681.86	Professional		$1,136.95	$1,516.72	$2,681.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $791.76 / $791.76 / $1,023.29	Professional		$791.76	$791.76	$1,023.29