Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $22,024.00	Facility		$1,733.00	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.19 / $1,666.03 / $3,608.77	Professional		$1,204.19	$1,666.03	$3,608.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,954.95 / $36,469.56 / $71,345.31	Facility		$10,954.95	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.97 / $3,001.07 / $11,410.95	Professional		$1,843.97	$3,001.07	$11,410.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $22,137.16	Facility		$883.20	$1,075.31	$22,137.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.13 / $2,341.08 / $3,958.13	Professional		$1,313.13	$2,341.08	$3,958.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,311.09 / $2,671.47 / $17,562.84	Facility		$1,311.09	$2,671.47	$17,562.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.99 / $2,633.92 / $16,716.84	Professional		$1,219.99	$2,633.92	$16,716.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $791.51 / $2,547.34	Professional		$157.08	$791.51	$2,547.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,773.75 / $2,452.87 / $2,626.40	Facility		$1,773.75	$2,452.87	$2,626.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,750.85 / $1,791.44 / $18,067.66	Facility		$1,750.85	$1,791.44	$18,067.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,002.79 / $2,860.10 / $3,555.83	Professional		$2,002.79	$2,860.10	$3,555.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,785.63 / $2,557.86 / $3,430.24	Professional		$1,785.63	$2,557.86	$3,430.24
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 $1,558.19 / $1,959.62 / $3,672.89	Professional		$1,558.19	$1,959.62	$3,672.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,088.26 / $1,088.26 / $1,412.93	Professional		$1,088.26	$1,088.26	$1,412.93