Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,215.37 / $13,147.68 / $23,856.49	Facility		$2,215.37	$13,147.68	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,962.11 / $2,215.37 / $2,513.53	Professional		$1,962.11	$2,215.37	$2,513.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,890.59 / $41,699.68 / $41,699.68	Facility		$2,890.59	$41,699.68	$41,699.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,947.56 / $4,855.30 / $19,646.48	Professional		$2,947.56	$4,855.30	$19,646.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,887.09 / $6,887.09 / $6,887.09	Professional		$6,887.09	$6,887.09	$6,887.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,956.05 / $4,323.13 / $4,510.43	Facility		$2,956.05	$4,323.13	$4,510.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,890.59 / $2,890.59 / $3,076.52	Facility		$2,890.59	$2,890.59	$3,076.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,278.56 / $4,774.89 / $6,106.60	Professional		$3,278.56	$4,774.89	$6,106.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,947.56 / $4,079.59 / $5,829.91	Professional		$2,947.56	$4,079.59	$5,829.91
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,679.60 / $3,662.10 / $6,316.20	Professional		$2,679.60	$3,662.10	$6,316.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,962.79 / $1,962.79 / $1,962.79	Professional		$1,962.79	$1,962.79	$1,962.79