Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,400.38 / $6,470.00 / $20,680.40	Facility		$3,400.38	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,215.19 / $3,252.47 / $7,082.91	Professional		$2,215.19	$3,252.47	$7,082.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,438.01 / $23,127.84	Facility		$55.00	$3,438.01	$23,127.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,538.82 / $6,023.01 / $22,155.83	Professional		$3,538.82	$6,023.01	$22,155.83
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 $2,475.78 / $4,433.26 / $7,492.46	Professional		$2,475.78	$4,433.26	$7,492.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,341.73 / $4,657.88 / $6,268.27	Facility		$2,341.73	$4,657.88	$6,268.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,341.73 / $4,657.88 / $6,268.27	Professional		$2,341.73	$4,657.88	$6,268.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $891.18 / $5,549.44	Professional		$232.76	$891.18	$5,549.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,680.30 / $4,802.59 / $5,087.76	Facility		$3,680.30	$4,802.59	$5,087.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,389.35 / $3,389.35 / $3,438.01	Facility		$3,389.35	$3,389.35	$3,438.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,591.36 / $5,693.05 / $6,871.47	Professional		$3,591.36	$5,693.05	$6,871.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,002.87 / $4,945.62 / $6,471.93	Professional		$4,002.87	$4,945.62	$6,471.93
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 $2,679.52 / $4,289.29 / $7,223.87	Professional		$2,679.52	$4,289.29	$7,223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.28 / $2,635.52 / $2,635.52	Professional		$2,089.28	$2,635.52	$2,635.52