Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $3,786.12 / $18,711.00	Facility		$1,710.00	$3,786.12	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.05 / $1,627.92 / $3,786.12	Professional		$1,198.05	$1,627.92	$3,786.12
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 $1,879.59 / $2,985.67 / $11,353.05	Professional		$1,879.59	$2,985.67	$11,353.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $7,318.13	Facility		$466.83	$568.48	$7,318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.75 / $2,429.42 / $3,916.47	Professional		$1,394.75	$2,429.42	$3,916.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,350.55 / $2,840.68 / $6,417.76	Facility		$1,350.55	$2,840.68	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.29 / $2,715.85 / $5,526.27	Professional		$1,291.29	$2,715.85	$5,526.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $588.61 / $2,697.92	Professional		$150.32	$588.61	$2,697.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,857.57 / $2,520.37 / $2,615.96	Facility		$1,857.57	$2,520.37	$2,615.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,742.69 / $1,782.30 / $5,433.20	Facility		$1,742.69	$1,782.30	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,992.52 / $2,846.78 / $3,537.69	Professional		$1,992.52	$2,846.78	$3,537.69
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 $1,777.31 / $2,558.53 / $3,377.40	Professional		$1,777.31	$2,558.53	$3,377.40
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 $1,556.18 / $2,107.55 / $3,730.33	Professional		$1,556.18	$2,107.55	$3,730.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,084.67 / $1,084.67 / $1,387.26	Professional		$1,084.67	$1,084.67	$1,387.26