Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,250.64 / $5,729.48 / $22,024.00	Facility		$4,250.64	$5,729.48	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,890.08 / $3,661.88 / $6,869.54	Professional		$2,890.08	$3,661.88	$6,869.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $4,250.05 / $57,766.24	Facility		$2,800.00	$4,250.05	$57,766.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,613.58 / $7,340.13 / $27,674.33	Professional		$4,613.58	$7,340.13	$27,674.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,151.45 / $5,556.04 / $9,331.84	Professional		$3,151.45	$5,556.04	$9,331.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,387.68 / $6,297.72 / $8,058.29	Facility		$3,387.68	$6,297.72	$8,058.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,988.19 / $6,072.00 / $8,058.29	Professional		$2,988.19	$6,072.00	$8,058.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $1,074.23 / $6,940.18	Professional		$277.00	$1,074.23	$6,940.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,410.95 / $5,997.25 / $6,301.35	Facility		$4,410.95	$5,997.25	$6,301.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,250.05 / $4,250.05 / $4,298.09	Facility		$4,250.05	$4,250.05	$4,298.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,503.35 / $7,156.26 / $8,637.54	Professional		$4,503.35	$7,156.26	$8,637.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,019.37 / $6,182.85 / $8,078.90	Professional		$5,019.37	$6,182.85	$8,078.90
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 $3,626.90 / $5,352.82 / $9,080.53	Professional		$3,626.90	$5,352.82	$9,080.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,616.01 / $3,262.20 / $3,262.20	Professional		$2,616.01	$3,262.20	$3,262.20