Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,104.66 / $5,388.39 / $20,680.40	Facility		$3,104.66	$5,388.39	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.60 / $2,990.65 / $5,898.85	Professional		$2,041.60	$2,990.65	$5,898.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,156.96 / $21,195.52	Facility		$55.00	$3,156.96	$21,195.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,295.37 / $5,516.96 / $20,364.68	Professional		$3,295.37	$5,516.96	$20,364.68
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 $2,210.27 / $4,053.81 / $6,849.92	Professional		$2,210.27	$4,053.81	$6,849.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,171.23 / $4,438.82 / $5,757.25	Facility		$2,171.23	$4,438.82	$5,757.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,171.23 / $4,438.82 / $5,839.47	Professional		$2,171.23	$4,438.82	$5,839.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $2,597.28 / $5,297.58	Professional		$332.60	$2,597.28	$5,297.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,268.30 / $4,387.18 / $4,628.35	Facility		$3,268.30	$4,387.18	$4,628.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,120.26 / $3,120.26 / $3,156.96	Facility		$3,120.26	$3,120.26	$3,156.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,303.98 / $5,234.22 / $6,317.67	Professional		$3,303.98	$5,234.22	$6,317.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,685.08 / $4,541.32 / $5,933.97	Professional		$3,685.08	$4,541.32	$5,933.97
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 $2,499.69 / $3,984.27 / $6,641.68	Professional		$2,499.69	$3,984.27	$6,641.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,915.63 / $2,388.05 / $2,388.05	Professional		$1,915.63	$2,388.05	$2,388.05