Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.54 / $5,128.00 / $20,680.40	Facility		$2,951.54	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.80 / $2,816.31 / $5,607.93	Professional		$1,901.80	$2,816.31	$5,607.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,979.18 / $20,054.24	Facility		$55.00	$2,979.18	$20,054.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,069.88 / $5,198.56 / $19,191.15	Professional		$3,069.88	$5,198.56	$19,191.15
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 $2,034.63 / $3,845.27 / $6,501.33	Professional		$2,034.63	$3,845.27	$6,501.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,026.16 / $3,939.93 / $5,415.07	Facility		$2,026.16	$3,939.93	$5,415.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,026.16 / $3,939.93 / $5,415.07	Professional		$2,026.16	$3,939.93	$5,415.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $2,482.51 / $5,090.28	Professional		$282.57	$2,482.51	$5,090.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,005.17 / $3,994.67 / $4,367.72	Facility		$3,005.17	$3,994.67	$4,367.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,934.53 / $2,934.53 / $2,979.18	Facility		$2,934.53	$2,934.53	$2,979.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,109.44 / $4,932.14 / $5,953.07	Professional		$3,109.44	$4,932.14	$5,953.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,465.73 / $4,285.59 / $5,599.82	Professional		$3,465.73	$4,285.59	$5,599.82
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 $2,321.91 / $3,702.83 / $6,304.23	Professional		$2,321.91	$3,702.83	$6,304.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,812.39 / $2,294.07 / $2,294.07	Professional		$1,812.39	$2,294.07	$2,294.07