Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,875.14 / $6,470.00 / $20,680.40	Facility		$3,875.14	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.35 / $3,592.99 / $7,368.35	Professional		$2,511.35	$3,592.99	$7,368.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,744.66 / $35,170.51	Facility		$55.00	$3,744.66	$35,170.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,990.12 / $6,520.93 / $23,574.00	Professional		$3,990.12	$6,520.93	$23,574.00
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 $2,649.73 / $4,966.74 / $8,317.20	Professional		$2,649.73	$4,966.74	$8,317.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,659.80 / $5,466.98 / $7,017.58	Facility		$2,659.80	$5,466.98	$7,017.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,659.80 / $5,359.82 / $7,099.95	Professional		$2,659.80	$5,359.82	$7,099.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.99 / $989.40 / $6,101.17	Professional		$238.99	$989.40	$6,101.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,019.96 / $5,313.51 / $5,489.98	Facility		$4,019.96	$5,313.51	$5,489.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,701.92 / $3,701.92 / $3,744.66	Facility		$3,701.92	$3,701.92	$3,744.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,946.21 / $6,254.60 / $7,549.25	Professional		$3,946.21	$6,254.60	$7,549.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,372.02 / $5,386.74 / $7,068.78	Professional		$4,372.02	$5,386.74	$7,068.78
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 $3,078.65 / $4,602.35 / $7,936.42	Professional		$3,078.65	$4,602.35	$7,936.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,258.23 / $2,945.84 / $2,945.84	Professional		$2,258.23	$2,945.84	$2,945.84