Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,932.48 / $5,128.00 / $20,680.40	Facility		$2,932.48	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,912.24 / $2,792.78 / $5,571.71	Professional		$1,912.24	$2,792.78	$5,571.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,938.05 / $19,757.28	Facility		$55.00	$2,938.05	$19,757.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,084.00 / $5,083.47 / $18,936.45	Professional		$3,084.00	$5,083.47	$18,936.45
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 $1,937.29 / $3,791.62 / $6,397.32	Professional		$1,937.29	$3,791.62	$6,397.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,040.73 / $4,080.33 / $5,380.81	Facility		$2,040.73	$4,080.33	$5,380.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,040.73 / $4,071.85 / $5,461.74	Professional		$2,040.73	$4,071.85	$5,461.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $2,422.61 / $4,964.35	Professional		$282.57	$2,422.61	$4,964.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,041.92 / $4,088.79 / $4,307.43	Facility		$3,041.92	$4,088.79	$4,307.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,910.53 / $2,910.53 / $2,938.05	Facility		$2,910.53	$2,910.53	$2,938.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,077.76 / $4,875.85 / $5,885.11	Professional		$3,077.76	$4,875.85	$5,885.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,437.38 / $4,226.43 / $5,522.51	Professional		$3,437.38	$4,226.43	$5,522.51
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 $2,271.84 / $3,588.14 / $6,232.04	Professional		$2,271.84	$3,588.14	$6,232.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,780.36 / $2,239.48 / $2,239.48	Professional		$1,780.36	$2,239.48	$2,239.48