Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.99 / $1,326.39 / $3,037.96	Professional		$975.99	$1,326.39	$3,037.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $17,574.13 / $36,111.08	Facility		$5,433.20	$17,574.13	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.83 / $2,417.35 / $9,209.25	Professional		$1,516.83	$2,417.35	$9,209.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $7,318.13	Facility		$625.25	$761.81	$7,318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.85 / $1,887.51 / $3,185.99	Professional		$1,108.85	$1,887.51	$3,185.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,110.49 / $2,299.60 / $6,417.76	Facility		$1,110.49	$2,299.60	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.92 / $2,204.00 / $5,526.27	Professional		$1,024.92	$2,204.00	$5,526.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.15 / $471.08 / $2,209.21	Professional		$109.15	$471.08	$2,209.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,489.11 / $2,038.14 / $2,121.89	Facility		$1,489.11	$2,038.14	$2,121.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.72 / $1,447.32 / $5,433.20	Facility		$1,414.72	$1,447.32	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,618.98 / $2,311.02 / $2,872.79	Professional		$1,618.98	$2,311.02	$2,872.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,442.83 / $2,073.26 / $2,772.88	Professional		$1,442.83	$2,073.26	$2,772.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.06 / $1,685.88 / $3,013.56	Professional		$1,265.06	$1,685.88	$3,013.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $877.07 / $877.07 / $1,125.88	Professional		$877.07	$877.07	$1,125.88