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 $1,020.56 / $1,403.51 / $3,134.36	Professional		$1,020.56	$1,403.51	$3,134.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,522.72 / $35,815.01 / $70,064.83	Facility		$1,522.72	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.12 / $2,515.69 / $9,700.50	Professional		$1,576.12	$2,515.69	$9,700.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.93 / $1,979.21 / $3,356.12	Professional		$1,155.93	$1,979.21	$3,356.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,059.45 / $2,182.05 / $3,048.78	Facility		$1,059.45	$2,182.05	$3,048.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $2,134.51 / $2,794.70	Professional		$1,054.00	$2,134.51	$2,794.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $631.56 / $2,165.29	Professional		$116.51	$631.56	$2,165.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,554.28 / $2,132.61 / $2,232.44	Facility		$1,554.28	$2,132.61	$2,232.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,480.86 / $1,480.86 / $1,522.72	Facility		$1,480.86	$1,480.86	$1,522.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,697.08 / $2,422.36 / $3,022.46	Professional		$1,697.08	$2,422.36	$3,022.46
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 $1,510.28 / $2,167.40 / $2,885.51	Professional		$1,510.28	$2,167.40	$2,885.51
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 $1,336.86 / $1,816.64 / $3,189.04	Professional		$1,336.86	$1,816.64	$3,189.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $927.31 / $927.31 / $1,196.34	Professional		$927.31	$927.31	$1,196.34