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 $949.92 / $1,336.12 / $2,685.43	Professional		$949.92	$1,336.12	$2,685.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,468.59 / $2,357.94 / $9,087.83	Professional		$1,468.59	$2,357.94	$9,087.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,315.84	Facility		$1,005.16	$1,223.70	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.50 / $1,857.56 / $3,194.59	Professional		$1,022.50	$1,857.56	$3,194.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,004.41 / $2,066.56 / $7,292.72	Facility		$1,004.41	$2,066.56	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.49 / $1,980.70 / $6,279.70	Professional		$926.49	$1,980.70	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $583.10 / $2,056.43	Professional		$116.13	$583.10	$2,056.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,353.87 / $1,885.38 / $2,091.73	Facility		$1,353.87	$1,885.38	$2,091.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,408.38 / $1,426.75 / $6,526.97	Facility		$1,408.38	$1,426.75	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,294.29 / $2,831.97	Professional		$1,575.00	$2,294.29	$2,831.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,436.36 / $2,030.00 / $2,703.65	Professional		$1,436.36	$2,030.00	$2,703.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,181.88 / $1,632.12 / $2,960.22	Professional		$1,181.88	$1,632.12	$2,960.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $860.50 / $860.50 / $1,141.29	Professional		$860.50	$860.50	$1,141.29