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 $1,105.06 / $1,505.78 / $3,385.46	Professional		$1,105.06	$1,505.78	$3,385.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,631.95 / $18,220.34 / $35,644.43	Facility		$1,631.95	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.87 / $2,768.58 / $10,395.08	Professional		$1,705.87	$2,768.58	$10,395.08
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 $1,247.79 / $2,123.42 / $3,585.71	Professional		$1,247.79	$2,123.42	$3,585.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,158.24 / $2,344.52 / $3,281.02	Facility		$1,158.24	$2,344.52	$3,281.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.34 / $2,296.67 / $3,011.54	Professional		$1,141.34	$2,296.67	$3,011.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $716.11 / $2,351.37	Professional		$117.72	$716.11	$2,351.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,682.17 / $2,306.42 / $2,392.57	Facility		$1,682.17	$2,306.42	$2,392.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,597.73 / $1,597.73 / $1,631.95	Facility		$1,597.73	$1,597.73	$1,631.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,826.05 / $2,609.98 / $3,239.25	Professional		$1,826.05	$2,609.98	$3,239.25
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 $1,629.47 / $2,322.86 / $3,096.36	Professional		$1,629.47	$2,322.86	$3,096.36
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 $1,480.92 / $1,929.77 / $3,431.39	Professional		$1,480.92	$1,929.77	$3,431.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $992.74 / $992.74 / $1,269.16	Professional		$992.74	$992.74	$1,269.16