Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $3,810.00 / $18,711.00	Facility		$1,733.00	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.88 / $1,302.82 / $2,745.82	Professional		$939.88	$1,302.82	$2,745.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,694.72 / $36,111.08	Facility		$55.00	$17,694.72	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.98 / $2,421.41 / $8,972.70	Professional		$1,471.98	$2,421.41	$8,972.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,075.00 / $1,223.70	Facility		$1,005.16	$1,075.00	$1,223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.66 / $2,034.22 / $3,111.52	Professional		$1,221.66	$2,034.22	$3,111.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,179.55 / $2,181.52 / $5,823.95	Facility		$1,179.55	$2,181.52	$5,823.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.72 / $2,141.07 / $3,828.29	Professional		$1,156.72	$2,141.07	$3,828.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.65 / $1,117.60 / $2,288.82	Professional		$185.65	$1,117.60	$2,288.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,452.38 / $1,973.82 / $2,065.61	Facility		$1,452.38	$1,973.82	$2,065.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.31 / $1,375.31 / $1,408.93	Facility		$1,375.31	$1,375.31	$1,408.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,332.92 / $2,796.59	Professional		$1,575.00	$2,332.92	$2,796.59
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 $1,402.63 / $2,026.77 / $2,730.00	Professional		$1,402.63	$2,026.77	$2,730.00
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 $1,242.35 / $1,774.80 / $2,960.22	Professional		$1,242.35	$1,774.80	$2,960.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $857.46 / $857.46 / $1,111.60	Professional		$857.46	$857.46	$1,111.60