Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,784.84 / $6,470.00 / $20,680.40	Facility		$3,784.84	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,580.67 / $3,663.17 / $7,296.90	Professional		$2,580.67	$3,663.17	$7,296.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,856.62 / $51,799.52	Facility		$55.00	$3,856.62	$51,799.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,969.71 / $6,664.51 / $24,827.55	Professional		$3,969.71	$6,664.51	$24,827.55
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 $2,677.48 / $4,960.18 / $8,357.07	Professional		$2,677.48	$4,960.18	$8,357.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,672.20 / $5,691.64 / $7,022.92	Facility		$2,672.20	$5,691.64	$7,022.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,672.20 / $5,504.41 / $7,206.89	Professional		$2,672.20	$5,504.41	$7,206.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $381.46 / $3,186.64 / $6,507.07	Professional		$381.46	$3,186.64	$6,507.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,101.30 / $5,348.22 / $5,654.13	Facility		$4,101.30	$5,348.22	$5,654.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,802.94 / $3,802.94 / $3,856.62	Facility		$3,802.94	$3,802.94	$3,856.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,035.00 / $6,392.32 / $7,715.48	Professional		$4,035.00	$6,392.32	$7,715.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,491.33 / $5,547.80 / $7,249.10	Professional		$4,491.33	$5,547.80	$7,249.10
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,323.00 / $4,332.00	Facility		$650.00	$1,323.00	$4,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,988.58 / $4,968.60 / $8,111.16	Professional		$2,988.58	$4,968.60	$8,111.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,335.53 / $2,894.87 / $2,894.87	Professional		$2,335.53	$2,894.87	$2,894.87