Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,710.06 / $4,710.04 / $20,680.40	Facility		$2,710.06	$4,710.04	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.14 / $2,582.09 / $5,149.10	Professional		$1,633.14	$2,582.09	$5,149.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,731.95 / $18,396.56	Facility		$55.00	$2,731.95	$18,396.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.50 / $4,767.89 / $17,594.25	Professional		$2,839.50	$4,767.89	$17,594.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,893.82 / $3,515.65 / $5,966.22	Professional		$1,893.82	$3,515.65	$5,966.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,855.35 / $3,672.10 / $4,955.45	Facility		$1,855.35	$3,672.10	$4,955.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,855.35 / $3,672.10 / $4,955.45	Professional		$1,855.35	$3,672.10	$4,955.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $2,297.04 / $4,683.82	Professional		$282.57	$2,297.04	$4,683.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,561.31 / $3,563.20 / $4,005.26	Facility		$2,561.31	$3,563.20	$4,005.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,690.37 / $2,690.37 / $2,731.95	Facility		$2,690.37	$2,690.37	$2,731.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,850.72 / $4,523.55 / $5,459.89	Professional		$2,850.72	$4,523.55	$5,459.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,177.37 / $3,929.94 / $5,135.10	Professional		$3,177.37	$3,929.94	$5,135.10
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,323.00 / $4,332.00	Facility		$650.00	$1,323.00	$4,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,061.34 / $3,269.74 / $5,739.89	Professional		$2,061.34	$3,269.74	$5,739.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,662.48 / $2,108.37 / $2,108.37	Professional		$1,662.48	$2,108.37	$2,108.37