Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,627.14 / $6,065.68 / $20,680.40	Facility		$3,627.14	$6,065.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,334.84 / $3,490.47 / $6,607.72	Professional		$2,334.84	$3,490.47	$6,607.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,690.28 / $49,583.20	Facility		$55.00	$3,690.28	$49,583.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,798.48 / $6,375.80 / $23,796.75	Professional		$3,798.48	$6,375.80	$23,796.75
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 $2,690.12 / $4,744.16 / $8,017.88	Professional		$2,690.12	$4,744.16	$8,017.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,532.69 / $5,132.49 / $6,729.66	Facility		$2,532.69	$5,132.49	$6,729.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,532.69 / $5,132.49 / $6,760.67	Professional		$2,532.69	$5,132.49	$6,760.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.92 / $912.32 / $5,907.47	Professional		$233.92	$912.32	$5,907.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,644.62 / $5,014.28 / $5,410.25	Facility		$3,644.62	$5,014.28	$5,410.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.04 / $3,638.04 / $3,690.28	Facility		$3,638.04	$3,638.04	$3,690.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,854.88 / $6,110.79 / $7,375.67	Professional		$3,854.88	$6,110.79	$7,375.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,296.59 / $5,308.51 / $6,936.43	Professional		$4,296.59	$5,308.51	$6,936.43
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 $2,911.44 / $4,638.57 / $7,753.93	Professional		$2,911.44	$4,638.57	$7,753.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,241.67 / $2,804.66 / $2,804.66	Professional		$2,241.67	$2,804.66	$2,804.66