Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,893.38 / $6,764.03 / $20,680.40	Facility		$3,893.38	$6,764.03	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.38 / $3,893.38 / $7,691.96	Professional		$2,650.38	$3,893.38	$7,691.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,249.64 / $57,078.72	Facility		$55.00	$4,249.64	$57,078.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,408.89 / $7,330.22 / $27,407.78	Professional		$4,408.89	$7,330.22	$27,407.78
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 $2,930.49 / $5,434.15 / $9,114.86	Professional		$2,930.49	$5,434.15	$9,114.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,828.92 / $5,870.85 / $7,411.16	Facility		$2,828.92	$5,870.85	$7,411.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,745.67 / $5,679.59 / $7,411.16	Professional		$2,745.67	$5,679.59	$7,411.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.40 / $1,042.72 / $6,806.21	Professional		$265.40	$1,042.72	$6,806.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,401.67 / $5,714.43 / $6,230.33	Facility		$4,401.67	$5,714.43	$6,230.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,198.85 / $4,198.85 / $4,249.64	Facility		$4,198.85	$4,198.85	$4,249.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,385.54 / $7,045.93 / $8,435.12	Professional		$4,385.54	$7,045.93	$8,435.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,958.92 / $6,113.16 / $7,934.74	Professional		$4,958.92	$6,113.16	$7,934.74
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 $3,326.30 / $5,117.39 / $8,796.99	Professional		$3,326.30	$5,117.39	$8,796.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,579.58 / $3,219.93 / $3,219.93	Professional		$2,579.58	$3,219.93	$3,219.93