Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,024.37 / $6,041.07 / $20,680.40	Facility		$3,024.37	$6,041.07	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,870.99 / $2,864.12 / $5,746.30	Professional		$1,870.99	$2,864.12	$5,746.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,005.66 / $17,828.23	Facility		$55.00	$3,005.66	$17,828.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,070.02 / $5,236.43 / $19,537.73	Professional		$3,070.02	$5,236.43	$19,537.73
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 $2,227.87 / $3,902.33 / $6,595.14	Professional		$2,227.87	$3,902.33	$6,595.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,102.73 / $4,208.60 / $5,551.45	Facility		$2,102.73	$4,208.60	$5,551.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,102.73 / $4,208.60 / $5,612.93	Professional		$2,102.73	$4,208.60	$5,612.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $820.15 / $4,860.32	Professional		$207.72	$820.15	$4,860.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,029.18 / $4,098.39 / $4,443.43	Facility		$3,029.18	$4,098.39	$4,443.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,005.66 / $3,005.66 / $3,030.82	Facility		$3,005.66	$3,005.66	$3,030.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,177.18 / $5,033.35 / $6,075.22	Professional		$3,177.18	$5,033.35	$6,075.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,549.73 / $4,359.87 / $5,696.89	Professional		$3,549.73	$4,359.87	$5,696.89
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 $2,349.17 / $3,835.58 / $6,530.24	Professional		$2,349.17	$3,835.58	$6,530.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,838.89 / $2,309.64 / $2,309.64	Professional		$1,838.89	$2,309.64	$2,309.64