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 $963.45 / $1,324.45 / $2,815.33	Professional		$963.45	$1,324.45	$2,815.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.89 / $18,220.34 / $35,644.43	Facility		$1,435.89	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $2,417.94 / $9,146.48	Professional		$1,478.00	$2,417.94	$9,146.48
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 $1,036.47 / $1,869.36 / $3,165.95	Professional		$1,036.47	$1,869.36	$3,165.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $987.97 / $2,004.01 / $2,857.78	Facility		$987.97	$2,004.01	$2,857.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.97 / $1,949.18 / $2,620.36	Professional		$987.97	$1,949.18	$2,620.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $619.61 / $2,056.43	Professional		$81.54	$619.61	$2,056.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,413.72 / $1,762.77 / $2,105.14	Facility		$1,413.72	$1,762.77	$2,105.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,397.05 / $1,397.05 / $1,435.89	Facility		$1,397.05	$1,397.05	$1,435.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,602.54 / $2,284.23 / $2,850.11	Professional		$1,602.54	$2,284.23	$2,850.11
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 $1,424.81 / $2,043.80 / $2,720.97	Professional		$1,424.81	$2,043.80	$2,720.97
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 $1,198.80 / $1,648.35 / $2,967.04	Professional		$1,198.80	$1,648.35	$2,967.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $874.30 / $874.30 / $1,128.84	Professional		$874.30	$874.30	$1,128.84