Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,986.57 / $5,558.67 / $20,680.40	Facility		$2,986.57	$5,558.67	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,035.68 / $2,884.91 / $6,055.40	Professional		$2,035.68	$2,884.91	$6,055.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,042.25 / $40,870.72	Facility		$55.00	$3,042.25	$40,870.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,197.76 / $5,271.72 / $19,584.30	Professional		$3,197.76	$5,271.72	$19,584.30
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 $2,244.59 / $4,025.80 / $6,596.28	Professional		$2,244.59	$4,025.80	$6,596.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,109.86 / $4,503.75 / $5,655.86	Facility		$2,109.86	$4,503.75	$5,655.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,109.86 / $4,359.89 / $5,685.38	Professional		$2,109.86	$4,359.89	$5,685.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $2,502.22 / $5,119.07	Professional		$332.60	$2,502.22	$5,119.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,354.54 / $4,220.96 / $4,591.51	Facility		$3,354.54	$4,220.96	$4,591.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,997.50 / $2,997.50 / $3,042.25	Facility		$2,997.50	$2,997.50	$3,042.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,180.55 / $5,038.68 / $6,081.64	Professional		$3,180.55	$5,038.68	$6,081.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,540.10 / $4,376.31 / $5,723.71	Professional		$3,540.10	$4,376.31	$5,723.71
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 $2,543.17 / $3,912.60 / $6,393.54	Professional		$2,543.17	$3,912.60	$6,393.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,842.20 / $2,287.48 / $2,287.48	Professional		$1,842.20	$2,287.48	$2,287.48