Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,667.76 / $4,973.54 / $20,680.40	Facility		$2,667.76	$4,973.54	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.68 / $2,570.53 / $5,068.74	Professional		$1,755.68	$2,570.53	$5,068.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,711.38 / $18,209.43	Facility		$55.00	$2,711.38	$18,209.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,790.88 / $4,761.58 / $17,486.63	Professional		$2,790.88	$4,761.58	$17,486.63
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 $1,971.33 / $3,483.11 / $5,886.65	Professional		$1,971.33	$3,483.11	$5,886.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,853.80 / $3,843.19 / $4,946.91	Facility		$1,853.80	$3,843.19	$4,946.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,853.80 / $3,807.02 / $4,984.51	Professional		$1,853.80	$3,807.02	$4,984.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $2,262.24 / $4,616.34	Professional		$282.57	$2,262.24	$4,616.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,782.71 / $3,771.30 / $3,975.11	Facility		$2,782.71	$3,771.30	$3,975.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,679.50 / $2,679.50 / $2,711.38	Facility		$2,679.50	$2,679.50	$2,711.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,837.61 / $4,495.39 / $5,425.91	Professional		$2,837.61	$4,495.39	$5,425.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,164.53 / $3,900.36 / $5,096.45	Professional		$3,164.53	$3,900.36	$5,096.45
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 $2,158.03 / $3,415.51 / $5,704.19	Professional		$2,158.03	$3,415.51	$5,704.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,645.92 / $2,054.94 / $2,054.94	Professional		$1,645.92	$2,054.94	$2,054.94