Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.75 / $6,928.17 / $20,680.40	Facility		$3,444.75	$6,928.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,057.82 / $3,444.75 / $6,545.02	Professional		$2,057.82	$3,444.75	$6,545.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,167.93 / $18,769.91	Facility		$2,000.00	$5,167.93	$18,769.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,681.22 / $6,336.26 / $23,362.35	Professional		$3,681.22	$6,336.26	$23,362.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $2,323.83	Facility		$796.68	$1,285.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,074.23 / $4,648.70 / $8,118.42	Professional		$3,074.23	$4,648.70	$8,118.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,647.45 / $4,143.05 / $6,838.56	Facility		$1,647.45	$4,143.05	$6,838.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.45 / $4,143.05 / $6,879.83	Professional		$1,647.45	$4,143.05	$6,879.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.40 / $1,348.49 / $5,271.44	Professional		$270.40	$1,348.49	$5,271.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,397.80 / $4,698.71 / $5,400.87	Facility		$3,397.80	$4,698.71	$5,400.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $3,609.50 / $3,683.88	Facility		$759.83	$3,609.50	$3,683.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,727.59 / $6,120.68 / $7,312.13	Professional		$3,727.59	$6,120.68	$7,312.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,638.19 / $4,953.47 / $6,981.13	Professional		$3,638.19	$4,953.47	$6,981.13
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,681.00 / $6,857.00	Facility		$629.00	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,299.10 / $4,159.13 / $8,160.66	Professional		$3,299.10	$4,159.13	$8,160.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,883.19 / $2,883.19 / $2,883.19	Professional		$2,883.19	$2,883.19	$2,883.19