Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,034.97 / $8,105.87 / $20,680.40	Facility		$5,034.97	$8,105.87	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,433.78 / $4,881.00 / $9,842.96	Professional		$3,433.78	$4,881.00	$9,842.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,131.64 / $68,910.56	Facility		$55.00	$5,131.64	$68,910.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,277.63 / $9,065.04 / $33,037.28	Professional		$5,277.63	$9,065.04	$33,037.28
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 $3,313.52 / $6,606.87 / $11,114.27	Professional		$3,313.52	$6,606.87	$11,114.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,553.84 / $7,474.52 / $9,346.75	Facility		$3,553.84	$7,474.52	$9,346.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,553.84 / $7,324.87 / $9,590.40	Professional		$3,553.84	$7,324.87	$9,590.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $339.17 / $1,306.97 / $8,215.19	Professional		$339.17	$1,306.97	$8,215.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,465.95 / $7,113.26 / $7,523.43	Facility		$5,465.95	$7,113.26	$7,523.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,065.45 / $5,065.45 / $5,131.64	Facility		$5,065.45	$5,065.45	$5,131.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,372.64 / $8,511.43 / $10,273.21	Professional		$5,372.64	$8,511.43	$10,273.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,982.37 / $7,381.95 / $9,672.43	Professional		$5,982.37	$7,381.95	$9,672.43
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 $4,022.83 / $6,521.85 / $10,943.44	Professional		$4,022.83	$6,521.85	$10,943.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,107.70 / $3,846.25 / $3,846.25	Professional		$3,107.70	$3,846.25	$3,846.25