Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,995.58 / $6,718.54 / $22,024.00	Facility		$4,995.58	$6,718.54	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,391.21 / $4,358.66 / $8,034.15	Professional		$3,391.21	$4,358.66	$8,034.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $4,992.51 / $68,071.84	Facility		$2,800.00	$4,992.51	$68,071.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,489.40 / $8,698.57 / $32,595.68	Professional		$5,489.40	$8,698.57	$32,595.68
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 $3,746.02 / $6,581.76 / $10,988.32	Professional		$3,746.02	$6,581.76	$10,988.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,036.77 / $7,504.40 / $9,594.84	Facility		$4,036.77	$7,504.40	$9,594.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,557.98 / $7,235.42 / $9,594.84	Professional		$3,557.98	$7,235.42	$9,594.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $343.62 / $1,292.20 / $8,169.91	Professional		$343.62	$1,292.20	$8,169.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,094.21 / $7,033.69 / $7,426.28	Facility		$6,094.21	$7,033.69	$7,426.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,992.51 / $4,992.51 / $5,065.39	Facility		$4,992.51	$4,992.51	$5,065.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,290.08 / $8,402.62 / $10,141.89	Professional		$5,290.08	$8,402.62	$10,141.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,896.24 / $7,286.62 / $9,533.17	Professional		$5,896.24	$7,286.62	$9,533.17
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 $4,161.14 / $6,382.68 / $10,706.48	Professional		$4,161.14	$6,382.68	$10,706.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,068.77 / $3,814.21 / $3,814.21	Professional		$3,068.77	$3,814.21	$3,814.21