Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,732.99 / $9,219.58 / $20,680.40	Facility		$5,732.99	$9,219.58	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,911.89 / $5,572.88 / $11,127.20	Professional		$3,911.89	$5,572.88	$11,127.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,847.77 / $78,496.32	Facility		$55.00	$5,847.77	$78,496.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,019.24 / $10,349.45 / $37,652.48	Professional		$6,019.24	$10,349.45	$37,652.48
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 $3,852.68 / $7,582.48 / $12,653.36	Professional		$3,852.68	$7,582.48	$12,653.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,052.94 / $8,673.41 / $10,648.43	Facility		$4,052.94	$8,673.41	$10,648.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,052.94 / $8,362.53 / $10,949.01	Professional		$4,052.94	$8,362.53	$10,949.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.91 / $1,416.17 / $9,370.80	Professional		$380.91	$1,416.17	$9,370.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,473.39 / $8,097.81 / $8,643.48	Facility		$6,473.39	$8,097.81	$8,643.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,778.02 / $5,778.02 / $5,847.77	Facility		$5,778.02	$5,778.02	$5,847.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,124.14 / $9,705.28 / $11,714.19	Professional		$6,124.14	$9,705.28	$11,714.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,823.93 / $8,412.09 / $11,033.08	Professional		$6,823.93	$8,412.09	$11,033.08
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 $4,680.14 / $7,586.49 / $12,314.95	Professional		$4,680.14	$7,586.49	$12,314.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,540.57 / $4,370.41 / $4,370.41	Professional		$3,540.57	$4,370.41	$4,370.41