Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.64 / $5,132.00 / $22,024.00	Facility		$1,478.64	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.19 / $1,022.69 / $2,254.59	Professional		$742.19	$1,022.69	$2,254.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $36,469.56 / $71,345.31	Facility		$2,000.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.09 / $1,850.07 / $7,052.63	Professional		$1,142.09	$1,850.07	$7,052.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $21,311.60	Facility		$1,005.16	$1,223.70	$21,311.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,441.71 / $2,444.55	Professional		$800.00	$1,441.71	$2,444.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $830.41 / $1,691.81 / $16,907.88	Facility		$830.41	$1,691.81	$16,907.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.48 / $1,659.52 / $16,093.41	Professional		$768.48	$1,659.52	$16,093.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $438.42 / $1,622.99	Professional		$78.54	$438.42	$1,622.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,125.04 / $1,532.29 / $1,623.41	Facility		$1,125.04	$1,532.29	$1,623.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,075.42 / $1,107.31 / $17,989.90	Facility		$1,075.42	$1,107.31	$17,989.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.66 / $1,761.52 / $2,197.90	Professional		$1,234.66	$1,761.52	$2,197.90
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 $1,096.79 / $1,576.12 / $2,114.64	Professional		$1,096.79	$1,576.12	$2,114.64
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 $943.68 / $1,336.31 / $2,314.36	Professional		$943.68	$1,336.31	$2,314.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $674.98 / $874.42	Professional		$674.98	$674.98	$874.42