Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,045.35 / $5,255.92 / $20,680.40	Facility		$3,045.35	$5,255.92	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.77 / $2,906.31 / $5,786.17	Professional		$1,988.77	$2,906.31	$5,786.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,028.76 / $20,579.04	Facility		$55.00	$3,028.76	$20,579.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,213.73 / $5,277.30 / $19,732.13	Professional		$3,213.73	$5,277.30	$19,732.13
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 $2,248.23 / $3,949.68 / $6,661.72	Professional		$2,248.23	$3,949.68	$6,661.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,122.57 / $4,270.12 / $5,601.19	Facility		$2,122.57	$4,270.12	$5,601.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,122.57 / $4,270.12 / $5,684.50	Professional		$2,122.57	$4,270.12	$5,684.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $783.04 / $4,924.75	Professional		$203.03	$783.04	$4,924.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,157.07 / $4,259.81 / $4,487.66	Facility		$3,157.07	$4,259.81	$4,487.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.76 / $3,028.76 / $3,060.99	Facility		$3,028.76	$3,028.76	$3,060.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,205.52 / $5,078.25 / $6,129.40	Professional		$3,205.52	$5,078.25	$6,129.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,577.01 / $4,403.27 / $5,753.58	Professional		$3,577.01	$4,403.27	$5,753.58
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 $2,430.11 / $3,800.16 / $6,443.75	Professional		$2,430.11	$3,800.16	$6,443.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,855.45 / $2,331.29 / $2,331.29	Professional		$1,855.45	$2,331.29	$2,331.29