Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,622.41 / $6,805.93 / $20,680.40	Facility		$4,622.41	$6,805.93	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,471.46 / $4,140.52 / $7,590.08	Professional		$2,471.46	$4,140.52	$7,590.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,668.71 / $62,770.24	Facility		$55.00	$4,668.71	$62,770.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,805.60 / $8,111.49 / $30,006.68	Professional		$4,805.60	$8,111.49	$30,006.68
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 $2,937.54 / $5,911.99 / $10,128.46	Professional		$2,937.54	$5,911.99	$10,128.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,219.32 / $5,801.95 / $8,312.61	Facility		$3,219.32	$5,801.95	$8,312.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,219.32 / $5,801.95 / $8,729.29	Professional		$3,219.32	$5,801.95	$8,729.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $1,122.98 / $7,412.31	Professional		$290.50	$1,122.98	$7,412.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,913.31 / $5,819.13 / $6,844.72	Facility		$3,913.31	$5,819.13	$6,844.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,624.68 / $4,624.68 / $4,668.71	Facility		$4,624.68	$4,624.68	$4,668.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,900.32 / $7,780.20 / $9,390.64	Professional		$4,900.32	$7,780.20	$9,390.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,461.82 / $6,716.00 / $8,830.79	Professional		$5,461.82	$6,716.00	$8,830.79
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 $3,443.18 / $5,873.65 / $9,872.25	Professional		$3,443.18	$5,873.65	$9,872.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,792.70 / $3,456.99 / $3,456.99	Professional		$2,792.70	$3,456.99	$3,456.99