Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,689.68 / $9,206.81 / $20,680.40	Facility		$5,689.68	$9,206.81	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,473.92 / $5,456.81 / $10,810.40	Professional		$3,473.92	$5,456.81	$10,810.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,770.54 / $38,768.08	Facility		$55.00	$5,770.54	$38,768.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,827.26 / $10,085.15 / $37,209.60	Professional		$5,827.26	$10,085.15	$37,209.60
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 $4,010.18 / $7,404.11 / $12,538.10	Professional		$4,010.18	$7,404.11	$12,538.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,948.47 / $7,922.54 / $10,536.96	Facility		$3,948.47	$7,922.54	$10,536.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,948.47 / $7,922.54 / $10,539.86	Professional		$3,948.47	$7,922.54	$10,539.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $1,437.93 / $9,267.69	Professional		$370.07	$1,437.93	$9,267.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,555.76 / $7,682.89 / $8,460.09	Facility		$5,555.76	$7,682.89	$8,460.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,702.36 / $5,702.36 / $5,770.54	Facility		$5,702.36	$5,702.36	$5,770.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,039.77 / $9,568.32 / $11,548.88	Professional		$6,039.77	$9,568.32	$11,548.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,734.58 / $8,300.99 / $10,846.59	Professional		$6,734.58	$8,300.99	$10,846.59
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 $4,454.18 / $6,916.25 / $12,141.18	Professional		$4,454.18	$6,916.25	$12,141.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,504.68 / $4,384.95 / $4,384.95	Professional		$3,504.68	$4,384.95	$4,384.95