Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,941.64 / $9,554.44 / $20,680.40	Facility		$5,941.64	$9,554.44	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,054.30 / $5,777.75 / $12,038.80	Professional		$4,054.30	$5,777.75	$12,038.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,060.28 / $81,344.80	Facility		$55.00	$6,060.28	$81,344.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,237.97 / $10,644.52 / $39,021.90	Professional		$6,237.97	$10,644.52	$39,021.90
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 $3,931.51 / $8,009.24 / $13,111.71	Professional		$3,931.51	$8,009.24	$13,111.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,199.88 / $8,745.73 / $11,036.88	Facility		$4,199.88	$8,745.73	$11,036.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,199.88 / $8,666.50 / $11,347.00	Professional		$4,199.88	$8,666.50	$11,347.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.24 / $1,521.21 / $9,687.47	Professional		$384.24	$1,521.21	$9,687.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,692.91 / $8,391.95 / $9,150.19	Facility		$6,692.91	$8,391.95	$9,150.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,990.02 / $5,990.02 / $6,060.28	Facility		$5,990.02	$5,990.02	$6,060.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,347.04 / $10,060.62 / $12,143.08	Professional		$6,347.04	$10,060.62	$12,143.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,074.31 / $8,717.78 / $11,439.34	Professional		$7,074.31	$8,717.78	$11,439.34
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 $4,856.00 / $8,001.38 / $13,413.75	Professional		$4,856.00	$8,001.38	$13,413.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,669.49 / $4,528.27 / $4,528.27	Professional		$3,669.49	$4,528.27	$4,528.27