Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $21,917.86	Facility		$1,733.00	$5,116.62	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.01 / $1,499.68 / $2,975.31	Professional		$1,052.01	$1,499.68	$2,975.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $34,098.33 / $70,064.83	Facility		$2,000.00	$34,098.33	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.10 / $2,485.98 / $9,433.43	Professional		$1,524.10	$2,485.98	$9,433.43
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 $1,119.40 / $1,926.64 / $3,262.74	Professional		$1,119.40	$1,926.64	$3,262.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,027.95 / $2,099.46 / $2,950.14	Facility		$1,027.95	$2,099.46	$2,950.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,019.90 / $2,022.07 / $2,706.65	Professional		$1,019.90	$2,022.07	$2,706.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $630.33 / $2,100.76	Professional		$116.51	$630.33	$2,100.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,511.65 / $2,027.42 / $2,170.80	Facility		$1,511.65	$2,027.42	$2,170.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,443.26 / $1,480.68 / $13,091.98	Facility		$1,443.26	$1,480.68	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.38 / $2,357.64 / $2,939.00	Professional		$1,652.38	$2,357.64	$2,939.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,452.63 / $36,606.86 / $70,064.83	Facility		$26,452.63	$36,606.86	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,471.93 / $2,107.56 / $2,805.84	Professional		$1,471.93	$2,107.56	$2,805.84
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 $1,300.73 / $1,768.79 / $3,105.04	Professional		$1,300.73	$1,768.79	$3,105.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.81 / $900.81 / $1,161.53	Professional		$900.81	$900.81	$1,161.53