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 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,787.31 / $3,629.13	Professional		$1,260.88	$1,787.31	$3,629.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,069.35 / $36,469.56 / $71,345.31	Facility		$6,069.35	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.68 / $2,861.76 / $11,242.20	Professional		$1,816.68	$2,861.76	$11,242.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $23,716.43	Facility		$714.97	$870.49	$23,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.56 / $2,295.44 / $3,890.25	Professional		$1,338.56	$2,295.44	$3,890.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,351.59 / $2,761.02 / $18,815.80	Facility		$1,351.59	$2,761.02	$18,815.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.88 / $2,665.82 / $17,909.41	Professional		$1,231.88	$2,665.82	$17,909.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $795.30 / $2,540.96	Professional		$157.37	$795.30	$2,540.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,828.19 / $2,472.30 / $2,587.54	Facility		$1,828.19	$2,472.30	$2,587.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.87 / $1,764.93 / $21,262.41	Facility		$1,716.87	$1,764.93	$21,262.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,968.37 / $2,807.67 / $3,503.22	Professional		$1,968.37	$2,807.67	$3,503.22
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 $1,750.98 / $2,517.14 / $3,371.28	Professional		$1,750.98	$2,517.14	$3,371.28
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 $1,546.50 / $2,104.44 / $3,698.84	Professional		$1,546.50	$2,104.44	$3,698.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,075.29 / $1,075.29 / $1,387.15	Professional		$1,075.29	$1,075.29	$1,387.15