Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,405.09 / $6,021.62 / $20,680.40	Facility		$3,405.09	$6,021.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,312.86 / $3,286.18 / $6,559.72	Professional		$2,312.86	$3,286.18	$6,559.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,492.85 / $46,979.36	Facility		$55.00	$3,492.85	$46,979.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,606.22 / $6,077.75 / $22,468.13	Professional		$3,606.22	$6,077.75	$22,468.13
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 $2,542.73 / $4,492.14 / $7,586.70	Professional		$2,542.73	$4,492.14	$7,586.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,399.71 / $5,109.88 / $6,330.06	Facility		$2,399.71	$5,109.88	$6,330.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,399.71 / $4,926.72 / $6,450.54	Professional		$2,399.71	$4,926.72	$6,450.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $2,929.94 / $5,959.77	Professional		$332.60	$2,929.94	$5,959.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,660.79 / $4,871.72 / $5,120.81	Facility		$3,660.79	$4,871.72	$5,120.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.15 / $3,420.15 / $3,492.85	Facility		$3,420.15	$3,420.15	$3,492.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,626.75 / $5,745.56 / $6,934.84	Professional		$3,626.75	$5,745.56	$6,934.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,039.25 / $5,022.17 / $6,565.34	Professional		$4,039.25	$5,022.17	$6,565.34
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 $2,826.04 / $4,387.82 / $7,290.49	Professional		$2,826.04	$4,387.82	$7,290.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,123.79 / $2,652.81 / $2,652.81	Professional		$2,123.79	$2,652.81	$2,652.81