Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,470.00 / $10,293.29 / $20,680.40	Facility		$6,470.00	$10,293.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,465.27 / $6,378.53 / $13,653.30	Professional		$4,465.27	$6,378.53	$13,653.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,679.06 / $89,616.32	Facility		$55.00	$6,679.06	$89,616.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,874.90 / $11,987.94 / $43,013.03	Professional		$6,874.90	$11,987.94	$43,013.03
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 $4,388.09 / $8,955.90 / $14,437.75	Professional		$4,388.09	$8,955.90	$14,437.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,785.47 / $9,881.82 / $12,580.07	Facility		$4,785.47	$9,881.82	$12,580.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,670.03 / $9,557.57 / $12,596.43	Professional		$4,670.03	$9,557.57	$12,596.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.84 / $1,618.42 / $10,701.08	Professional		$416.84	$1,618.42	$10,701.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,376.03 / $9,236.34 / $10,200.08	Facility		$7,376.03	$9,236.34	$10,200.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,611.08 / $6,611.08 / $6,679.06	Facility		$6,611.08	$6,611.08	$6,679.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,040.68 / $11,093.92 / $13,390.27	Professional		$7,040.68	$11,093.92	$13,390.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,807.79 / $9,607.90 / $12,650.68	Professional		$7,807.79	$9,607.90	$12,650.68
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 $5,235.16 / $8,558.54 / $14,143.36	Professional		$5,235.16	$8,558.54	$14,143.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,041.63 / $4,975.10 / $4,975.10	Professional		$4,041.63	$4,975.10	$4,975.10