Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,079.64 / $5,312.10 / $20,680.40	Facility		$3,079.64	$5,312.10	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.46 / $2,850.15 / $5,837.07	Professional		$1,994.46	$2,850.15	$5,837.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,974.16 / $20,320.88	Facility		$55.00	$2,974.16	$20,320.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,138.81 / $5,177.87 / $18,729.59	Professional		$3,138.81	$5,177.87	$18,729.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,105.13 / $3,947.22 / $6,612.68	Professional		$2,105.13	$3,947.22	$6,612.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,103.04 / $4,365.27 / $5,540.10	Facility		$2,103.04	$4,365.27	$5,540.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,103.04 / $4,231.37 / $5,613.76	Professional		$2,103.04	$4,231.37	$5,613.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $296.03 / $2,527.79 / $5,083.18	Professional		$296.03	$2,527.79	$5,083.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,165.89 / $4,179.46 / $4,360.35	Facility		$3,165.89	$4,179.46	$4,360.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,937.25 / $2,937.25 / $2,974.16	Facility		$2,937.25	$2,937.25	$2,974.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,118.38 / $4,966.39 / $5,994.40	Professional		$3,118.38	$4,966.39	$5,994.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,468.94 / $4,278.35 / $5,608.66	Professional		$3,468.94	$4,278.35	$5,608.66
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,363.83 / $3,680.42 / $6,266.07	Professional		$2,363.83	$3,680.42	$6,266.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,793.61 / $2,347.14 / $2,347.14	Professional		$1,793.61	$2,347.14	$2,347.14