Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.06 / $1,836.76 / $4,134.59	Professional		$1,313.06	$1,836.76	$4,134.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $18,458.89 / $36,111.08	Facility		$5,433.20	$18,458.89	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,033.30 / $3,112.84 / $11,982.60	Professional		$2,033.30	$3,112.84	$11,982.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $7,318.13	Facility		$714.97	$870.49	$7,318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.63 / $2,447.82 / $4,134.63	Professional		$1,438.63	$2,447.82	$4,134.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,493.35 / $3,001.33 / $6,417.76	Facility		$1,493.35	$3,001.33	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,338.87 / $2,891.06 / $5,526.27	Professional		$1,338.87	$2,891.06	$5,526.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $592.42 / $2,827.56	Professional		$150.32	$592.42	$2,827.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,000.45 / $2,661.24 / $2,872.29	Facility		$2,000.45	$2,661.24	$2,872.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,809.40 / $1,836.46 / $5,433.20	Facility		$1,809.40	$1,836.46	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,101.96 / $2,999.96 / $3,733.62	Professional		$2,101.96	$2,999.96	$3,733.62
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 $1,872.95 / $2,697.37 / $3,564.46	Professional		$1,872.95	$2,697.37	$3,564.46
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 $1,668.24 / $2,264.04 / $3,949.88	Professional		$1,668.24	$2,264.04	$3,949.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,145.41 / $1,145.41 / $1,466.20	Professional		$1,145.41	$1,145.41	$1,466.20