Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,529.64 / $7,989.81 / $22,024.00	Facility		$3,529.64	$7,989.81	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.19 / $3,529.64 / $7,989.81	Professional		$2,581.19	$3,529.64	$7,989.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,836.06 / $35,815.01 / $70,064.83	Facility		$3,836.06	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,009.81 / $6,504.39 / $24,441.15	Professional		$4,009.81	$6,504.39	$24,441.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.25 / $5,004.35 / $8,411.00	Professional		$2,951.25	$5,004.35	$8,411.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,689.56 / $5,448.38 / $7,779.76	Facility		$2,689.56	$5,448.38	$7,779.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,689.56 / $5,361.44 / $7,067.90	Professional		$2,689.56	$5,361.44	$7,067.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.05 / $1,529.73 / $5,399.21	Professional		$328.05	$1,529.73	$5,399.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,942.38 / $5,413.39 / $5,623.98	Facility		$3,942.38	$5,413.39	$5,623.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,759.45 / $3,759.45 / $3,836.06	Facility		$3,759.45	$3,759.45	$3,836.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,292.80 / $6,141.26 / $7,614.20	Professional		$4,292.80	$6,141.26	$7,614.20
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 $3,834.14 / $5,460.13 / $7,294.73	Professional		$3,834.14	$5,460.13	$7,294.73
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 $3,375.32 / $4,662.59 / $8,309.93	Professional		$3,375.32	$4,662.59	$8,309.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,333.33 / $2,333.33 / $2,966.74	Professional		$2,333.33	$2,333.33	$2,966.74