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 $1,037.33 / $1,448.71 / $3,358.20	Professional		$1,037.33	$1,448.71	$3,358.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,073.27 / $18,458.89 / $36,111.08	Facility		$7,073.27	$18,458.89	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.19 / $2,541.91 / $9,453.53	Professional		$1,555.19	$2,541.91	$9,453.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $9,275.49	Facility		$625.25	$761.81	$9,275.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.78 / $1,947.49 / $3,264.03	Professional		$1,163.78	$1,947.49	$3,264.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,134.66 / $2,369.69 / $8,134.30	Facility		$1,134.66	$2,369.69	$8,134.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.34 / $2,251.12 / $7,004.36	Professional		$1,057.34	$2,251.12	$7,004.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $478.40 / $2,238.11	Professional		$109.19	$478.40	$2,238.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,560.16 / $2,100.05 / $2,175.48	Facility		$1,560.16	$2,100.05	$2,175.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.15 / $1,483.88 / $7,073.27	Facility		$1,449.15	$1,483.88	$7,073.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,658.03 / $2,367.26 / $2,945.35	Professional		$1,658.03	$2,367.26	$2,945.35
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 $1,477.94 / $2,124.65 / $2,811.90	Professional		$1,477.94	$2,124.65	$2,811.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $4,785.00 / $16,315.00	Facility		$2,225.00	$4,785.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.06 / $1,811.92 / $3,115.67	Professional		$1,335.06	$1,811.92	$3,115.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $903.01 / $903.01 / $1,158.55	Professional		$903.01	$903.01	$1,158.55