Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,254.44 / $8,506.76 / $20,680.40	Facility		$5,254.44	$8,506.76	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,280.23 / $5,034.05 / $9,983.44	Professional		$3,280.23	$5,034.05	$9,983.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,326.79 / $35,793.12	Facility		$55.00	$5,326.79	$35,793.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,482.98 / $9,215.10 / $34,345.43	Professional		$5,482.98	$9,215.10	$34,345.43
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 $3,748.74 / $6,844.01 / $11,578.50	Professional		$3,748.74	$6,844.01	$11,578.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,643.74 / $7,307.50 / $9,730.04	Facility		$3,643.74	$7,307.50	$9,730.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,643.74 / $7,307.50 / $9,730.04	Professional		$3,643.74	$7,307.50	$9,730.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $1,382.03 / $8,591.76	Professional		$370.07	$1,382.03	$8,591.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,077.38 / $6,943.21 / $7,809.52	Facility		$5,077.38	$6,943.21	$7,809.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,262.95 / $5,262.95 / $5,326.79	Facility		$5,262.95	$5,262.95	$5,326.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,574.84 / $8,831.77 / $10,659.87	Professional		$5,574.84	$8,831.77	$10,659.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,215.63 / $7,662.65 / $10,012.50	Professional		$6,215.63	$7,662.65	$10,012.50
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 $4,211.34 / $6,367.75 / $11,206.57	Professional		$4,211.34	$6,367.75	$11,206.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,235.79 / $4,052.87 / $4,052.87	Professional		$3,235.79	$4,052.87	$4,052.87