Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,973.45 / $5,128.00 / $20,680.40	Facility		$2,973.45	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,836.15 / $5,649.55	Professional		$1,944.00	$2,836.15	$5,649.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,955.83 / $20,080.48	Facility		$55.00	$2,955.83	$20,080.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,071.97 / $5,150.10 / $19,249.80	Professional		$3,071.97	$5,150.10	$19,249.80
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 $2,192.71 / $3,853.91 / $6,500.89	Professional		$2,192.71	$3,853.91	$6,500.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,070.48 / $4,165.39 / $5,465.70	Facility		$2,070.48	$4,165.39	$5,465.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,070.48 / $4,165.39 / $5,543.62	Professional		$2,070.48	$4,165.39	$5,543.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $778.69 / $4,833.66	Professional		$202.90	$778.69	$4,833.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,084.06 / $4,157.37 / $4,378.45	Facility		$3,084.06	$4,157.37	$4,378.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,955.83 / $2,955.83 / $2,986.50	Facility		$2,955.83	$2,955.83	$2,986.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,127.23 / $4,954.22 / $5,979.70	Professional		$3,127.23	$4,954.22	$5,979.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,490.88 / $4,296.10 / $5,613.57	Professional		$3,490.88	$4,296.10	$5,613.57
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 $2,458.13 / $3,835.21 / $6,328.08	Professional		$2,458.13	$3,835.21	$6,328.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,810.73 / $2,275.94 / $2,275.94	Professional		$1,810.73	$2,275.94	$2,275.94