Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,758.14 / $22,024.00	Facility		$1,733.00	$6,758.14	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.99 / $1,654.79 / $3,329.78	Professional		$1,166.99	$1,654.79	$3,329.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,634.23 / $18,220.34 / $35,644.43	Facility		$1,634.23	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.15 / $2,740.00 / $10,410.68	Professional		$1,682.15	$2,740.00	$10,410.68
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 $1,232.92 / $2,125.94 / $3,599.88	Professional		$1,232.92	$2,125.94	$3,599.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,132.95 / $2,328.41 / $3,260.40	Facility		$1,132.95	$2,328.41	$3,260.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,127.16 / $2,280.90 / $2,991.93	Professional		$1,127.16	$2,280.90	$2,991.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $708.66 / $2,338.64	Professional		$156.04	$708.66	$2,338.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,663.06 / $2,265.94 / $2,395.92	Facility		$1,663.06	$2,265.94	$2,395.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.84 / $1,591.84 / $1,634.23	Facility		$1,591.84	$1,591.84	$1,634.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,823.99 / $2,600.36 / $3,243.79	Professional		$1,823.99	$2,600.36	$3,243.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,623.47 / $2,326.11 / $3,096.82	Professional		$1,623.47	$2,326.11	$3,096.82
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 $1,437.66 / $1,952.51 / $3,427.54	Professional		$1,437.66	$1,952.51	$3,427.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $994.67 / $994.67 / $1,281.11	Professional		$994.67	$994.67	$1,281.11