Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.93 / $7,489.85 / $18,800.00	Facility		$1,744.93	$7,489.85	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.50 / $1,744.93 / $3,726.54	Professional		$1,252.50	$1,744.93	$3,726.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,505.60 / $36,469.56 / $71,345.31	Facility		$6,505.60	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,947.46 / $3,163.52 / $12,052.43	Professional		$1,947.46	$3,163.52	$12,052.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $26,058.88	Facility		$714.97	$870.49	$26,058.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.93 / $2,460.67 / $4,167.72	Professional		$1,437.93	$2,460.67	$4,167.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,449.31 / $2,993.08 / $22,371.07	Facility		$1,449.31	$2,993.08	$22,371.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,358.76 / $2,894.14 / $19,678.32	Professional		$1,358.76	$2,894.14	$19,678.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $809.66 / $2,698.97	Professional		$157.37	$809.66	$2,698.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,965.88 / $2,654.54 / $2,773.80	Facility		$1,965.88	$2,654.54	$2,773.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,841.90 / $1,891.98 / $22,617.55	Facility		$1,841.90	$1,891.98	$22,617.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,111.19 / $3,009.78 / $3,755.39	Professional		$2,111.19	$3,009.78	$3,755.39
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 $1,878.49 / $2,701.37 / $3,615.92	Professional		$1,878.49	$2,701.37	$3,615.92
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 $1,697.99 / $2,259.96 / $3,967.26	Professional		$1,697.99	$2,259.96	$3,967.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,152.58 / $1,152.58 / $1,484.51	Professional		$1,152.58	$1,152.58	$1,484.51