Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,109.73 / $5,128.00 / $20,680.40	Facility		$3,109.73	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.67 / $2,970.06 / $5,908.49	Professional		$1,889.67	$2,970.06	$5,908.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,140.50 / $21,133.92	Facility		$55.00	$3,140.50	$21,133.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,143.64 / $5,491.27 / $20,234.40	Professional		$3,143.64	$5,491.27	$20,234.40
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 $2,152.30 / $4,031.43 / $6,849.25	Professional		$2,152.30	$4,031.43	$6,849.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,136.83 / $4,269.77 / $5,715.32	Facility		$2,136.83	$4,269.77	$5,715.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,136.83 / $4,269.77 / $5,715.32	Professional		$2,136.83	$4,269.77	$5,715.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $792.18 / $5,063.25	Professional		$203.03	$792.18	$5,063.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,953.03 / $4,083.65 / $4,604.24	Facility		$2,953.03	$4,083.65	$4,604.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,094.90 / $3,094.90 / $3,140.50	Facility		$3,094.90	$3,094.90	$3,140.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,282.37 / $5,199.99 / $6,276.35	Professional		$3,282.37	$5,199.99	$6,276.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,655.12 / $4,517.64 / $5,903.05	Professional		$3,655.12	$4,517.64	$5,903.05
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 $2,396.81 / $3,844.24 / $6,598.23	Professional		$2,396.81	$3,844.24	$6,598.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,910.39 / $2,414.46 / $2,414.46	Professional		$1,910.39	$2,414.46	$2,414.46