Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,849.88 / $4,200.06 / $22,024.00	Facility		$1,849.88	$4,200.06	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.50 / $1,849.88 / $4,097.60	Professional		$1,411.50	$1,849.88	$4,097.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $23,789.92	Facility		$55.00	$5,000.00	$23,789.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,180.41 / $3,467.03 / $12,781.43	Professional		$2,180.41	$3,467.03	$12,781.43
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 $1,551.55 / $2,703.72 / $4,407.02	Professional		$1,551.55	$2,703.72	$4,407.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,409.88 / $2,814.72 / $3,689.18	Facility		$1,409.88	$2,814.72	$3,689.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,409.88 / $2,852.44 / $3,763.47	Professional		$1,409.88	$2,852.44	$3,763.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.66 / $1,495.50 / $3,265.68	Professional		$252.66	$1,495.50	$3,265.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,141.79 / $2,837.38 / $2,957.38	Facility		$2,141.79	$2,837.38	$2,957.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,006.69 / $2,006.69 / $2,019.47	Facility		$2,006.69	$2,006.69	$2,019.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,357.83 / $3,325.19 / $3,983.08	Professional		$2,357.83	$3,325.19	$3,983.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,979.69 / $9,979.69 / $18,894.75	Facility		$9,979.69	$9,979.69	$18,894.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,059.60 / $2,899.53 / $3,888.23	Professional		$2,059.60	$2,899.53	$3,888.23
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,389.00 / $5,793.00	Facility		$702.00	$1,389.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,812.48 / $2,399.10 / $4,430.67	Professional		$1,812.48	$2,399.10	$4,430.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,221.59 / $1,221.59 / $1,559.79	Professional		$1,221.59	$1,221.59	$1,559.79