Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,773.95 / $7,733.43 / $20,680.40	Facility		$4,773.95	$7,733.43	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,052.85 / $4,568.57 / $9,070.50	Professional		$3,052.85	$4,568.57	$9,070.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,837.80 / $32,513.36	Facility		$55.00	$4,837.80	$32,513.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,955.80 / $8,490.34 / $31,190.25	Professional		$4,955.80	$8,490.34	$31,190.25
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 $3,392.45 / $6,224.73 / $10,520.13	Professional		$3,392.45	$6,224.73	$10,520.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,308.94 / $6,651.84 / $8,838.25	Facility		$3,308.94	$6,651.84	$8,838.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,308.94 / $6,651.84 / $8,878.95	Professional		$3,308.94	$6,651.84	$8,878.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.96 / $1,206.73 / $7,817.21	Professional		$308.96	$1,206.73	$7,817.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,947.71 / $6,677.07 / $7,092.62	Facility		$4,947.71	$6,677.07	$7,092.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,777.79 / $4,777.79 / $4,837.80	Facility		$4,777.79	$4,777.79	$4,837.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,062.35 / $8,019.89 / $9,679.94	Professional		$5,062.35	$8,019.89	$9,679.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,642.65 / $6,959.23 / $9,093.37	Professional		$5,642.65	$6,959.23	$9,093.37
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 $3,800.93 / $5,932.83 / $10,176.37	Professional		$3,800.93	$5,932.83	$10,176.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,939.85 / $3,686.51 / $3,686.51	Professional		$2,939.85	$3,686.51	$3,686.51