Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,859.05 / $9,408.28 / $20,680.40	Facility		$5,859.05	$9,408.28	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,995.26 / $5,703.47 / $11,919.00	Professional		$3,995.26	$5,703.47	$11,919.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,975.28 / $80,180.96	Facility		$55.00	$5,975.28	$80,180.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,150.48 / $10,507.67 / $38,479.43	Professional		$6,150.48	$10,507.67	$38,479.43
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 $3,862.37 / $7,900.73 / $12,919.32	Professional		$3,862.37	$7,900.73	$12,919.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,218.79 / $8,699.35 / $11,203.48	Facility		$4,218.79	$8,699.35	$11,203.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,182.53 / $8,556.89 / $11,203.48	Professional		$4,182.53	$8,556.89	$11,203.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.57 / $1,500.60 / $9,562.65	Professional		$386.57	$1,500.60	$9,562.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,558.19 / $8,265.37 / $8,965.27	Facility		$6,558.19	$8,265.37	$8,965.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,913.01 / $5,913.01 / $5,975.28	Facility		$5,913.01	$5,913.01	$5,975.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,297.50 / $9,922.90 / $11,976.85	Professional		$6,297.50	$9,922.90	$11,976.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,983.36 / $8,595.51 / $11,299.80	Professional		$6,983.36	$8,595.51	$11,299.80
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 $4,676.13 / $7,644.63 / $12,591.09	Professional		$4,676.13	$7,644.63	$12,591.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,616.21 / $4,454.14 / $4,454.14	Professional		$3,616.21	$4,454.14	$4,454.14