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 $1,034.21 / $1,405.75 / $3,245.41	Professional		$1,034.21	$1,405.75	$3,245.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $17,744.22 / $36,111.08	Facility		$5,433.20	$17,744.22	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.98 / $2,637.22 / $9,808.65	Professional		$1,616.98	$2,637.22	$9,808.65
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 $1,177.27 / $2,022.10 / $3,386.51	Professional		$1,177.27	$2,022.10	$3,386.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,178.32 / $2,424.76 / $6,417.76	Facility		$1,178.32	$2,424.76	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.00 / $2,336.67 / $5,526.27	Professional		$1,099.00	$2,336.67	$5,526.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.15 / $486.55 / $2,367.75	Professional		$109.15	$486.55	$2,367.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,602.30 / $2,178.91 / $2,257.23	Facility		$1,602.30	$2,178.91	$2,257.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,502.60 / $1,539.63 / $5,433.20	Facility		$1,502.60	$1,539.63	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,720.20 / $2,454.58 / $3,056.02	Professional		$1,720.20	$2,454.58	$3,056.02
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 $1,532.45 / $2,203.42 / $2,917.55	Professional		$1,532.45	$2,203.42	$2,917.55
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 $1,361.22 / $1,841.39 / $3,208.58	Professional		$1,361.22	$1,841.39	$3,208.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $936.97 / $936.97 / $1,201.94	Professional		$936.97	$936.97	$1,201.94