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 $1,010.15 / $1,318.86 / $2,959.33	Professional		$1,010.15	$1,318.86	$2,959.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,222.64 / $18,458.89 / $36,111.08	Facility		$7,222.64	$18,458.89	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.86 / $2,436.50 / $9,203.54	Professional		$1,503.86	$2,436.50	$9,203.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $10,868.50	Facility		$625.25	$761.81	$10,868.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.82 / $1,879.42 / $3,178.07	Professional		$1,093.82	$1,879.42	$3,178.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,142.05 / $2,305.44 / $9,370.75	Facility		$1,142.05	$2,305.44	$9,370.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.65 / $2,205.38 / $8,207.33	Professional		$1,027.65	$2,205.38	$8,207.33
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 $1,512.81 / $2,017.37 / $2,117.87	Facility		$1,512.81	$2,017.37	$2,117.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,409.28 / $1,444.58 / $8,093.85	Facility		$1,409.28	$1,444.58	$8,093.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,614.36 / $2,302.14 / $2,867.34	Professional		$1,614.36	$2,302.14	$2,867.34
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 $1,437.28 / $2,065.25 / $2,737.43	Professional		$1,437.28	$2,065.25	$2,737.43
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 $1,275.54 / $1,728.10 / $3,006.62	Professional		$1,275.54	$1,728.10	$3,006.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $878.72 / $878.72 / $1,127.99	Professional		$878.72	$878.72	$1,127.99