Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,631.17 / $6,470.00 / $20,680.40	Facility		$3,631.17	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,550.92 / $3,631.17 / $7,225.16	Professional		$2,550.92	$3,631.17	$7,225.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,972.24 / $53,389.76	Facility		$55.00	$3,972.24	$53,389.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,145.28 / $6,840.22 / $25,611.00	Professional		$4,145.28	$6,840.22	$25,611.00
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 $2,728.18 / $5,108.78 / $8,533.73	Professional		$2,728.18	$5,108.78	$8,533.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,820.07 / $5,494.96 / $7,395.98	Facility		$2,820.07	$5,494.96	$7,395.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,643.69 / $5,365.74 / $7,395.98	Professional		$2,643.69	$5,365.74	$7,395.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.96 / $999.20 / $6,410.22	Professional		$246.96	$999.20	$6,410.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,085.62 / $5,293.13 / $5,823.64	Facility		$4,085.62	$5,293.13	$5,823.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,912.11 / $3,912.11 / $3,972.24	Facility		$3,912.11	$3,912.11	$3,972.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,150.27 / $6,574.94 / $7,884.51	Professional		$4,150.27	$6,574.94	$7,884.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,620.26 / $5,714.12 / $7,416.79	Professional		$4,620.26	$5,714.12	$7,416.79
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 $3,007.30 / $4,669.26 / $8,342.87	Professional		$3,007.30	$4,669.26	$8,342.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,413.66 / $3,026.34 / $3,026.34	Professional		$2,413.66	$3,026.34	$3,026.34