Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,783.38 / $7,695.30 / $20,680.40	Facility		$4,783.38	$7,695.30	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,261.17 / $4,650.79 / $9,689.62	Professional		$3,261.17	$4,650.79	$9,689.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,877.10 / $65,457.60	Facility		$55.00	$4,877.10	$65,457.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,020.10 / $8,490.92 / $31,405.65	Professional		$5,020.10	$8,490.92	$31,405.65
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 $3,242.63 / $6,428.40 / $10,549.98	Professional		$3,242.63	$6,428.40	$10,549.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,442.86 / $7,163.52 / $9,143.99	Facility		$3,442.86	$7,163.52	$9,143.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,415.30 / $6,983.91 / $9,143.99	Professional		$3,415.30	$6,983.91	$9,143.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $1,211.88 / $7,763.03	Professional		$308.94	$1,211.88	$7,763.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,268.48 / $6,749.14 / $7,365.31	Facility		$5,268.48	$6,749.14	$7,365.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,823.54 / $4,823.54 / $4,877.10	Facility		$4,823.54	$4,823.54	$4,877.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,138.54 / $8,096.74 / $9,772.69	Professional		$5,138.54	$8,096.74	$9,772.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,696.68 / $7,015.77 / $9,241.95	Professional		$5,696.68	$7,015.77	$9,241.95
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 $3,676.23 / $6,114.36 / $10,589.45	Professional		$3,676.23	$6,114.36	$10,589.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,951.72 / $3,640.55 / $3,640.55	Professional		$2,951.72	$3,640.55	$3,640.55