Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,831.07 / $6,470.00 / $20,680.40	Facility		$3,831.07	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,528.00 / $3,690.87 / $7,279.03	Professional		$2,528.00	$3,690.87	$7,279.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,895.93 / $26,158.64	Facility		$55.00	$3,895.93	$26,158.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.16 / $6,724.50 / $25,130.40	Professional		$4,010.16	$6,724.50	$25,130.40
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 $2,813.05 / $5,002.43 / $8,454.37	Professional		$2,813.05	$5,002.43	$8,454.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,677.16 / $5,509.35 / $7,106.96	Facility		$2,677.16	$5,509.35	$7,106.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,677.16 / $5,499.03 / $7,199.84	Professional		$2,677.16	$5,499.03	$7,199.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.92 / $940.93 / $6,215.25	Professional		$233.92	$940.93	$6,215.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,029.27 / $5,415.15 / $5,711.75	Facility		$4,029.27	$5,415.15	$5,711.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,850.50 / $3,850.50 / $3,895.93	Facility		$3,850.50	$3,850.50	$3,895.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,078.23 / $6,460.80 / $7,798.13	Professional		$4,078.23	$6,460.80	$7,798.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,547.50 / $5,604.34 / $7,322.98	Professional		$4,547.50	$5,604.34	$7,322.98
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 $3,008.07 / $4,670.04 / $8,198.06	Professional		$3,008.07	$4,670.04	$8,198.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,364.23 / $2,948.23 / $2,948.23	Professional		$2,364.23	$2,948.23	$2,948.23