Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,739.64 / $9,315.56 / $20,680.40	Facility		$5,739.64	$9,315.56	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,543.72 / $5,510.31 / $10,914.80	Professional		$3,543.72	$5,510.31	$10,914.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,842.29 / $68,706.25	Facility		$55.00	$5,842.29	$68,706.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,975.51 / $10,058.86 / $37,667.03	Professional		$5,975.51	$10,058.86	$37,667.03
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 $4,249.75 / $7,511.60 / $12,701.66	Professional		$4,249.75	$7,511.60	$12,701.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,004.58 / $8,027.79 / $10,652.72	Facility		$4,004.58	$8,027.79	$10,652.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,004.58 / $8,027.79 / $10,689.64	Professional		$4,004.58	$8,027.79	$10,689.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.92 / $1,507.04 / $9,366.61	Professional		$389.92	$1,507.04	$9,366.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,073.55 / $8,145.71 / $8,565.28	Facility		$6,073.55	$8,145.71	$8,565.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,750.84 / $5,750.84 / $5,842.29	Facility		$5,750.84	$5,750.84	$5,842.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,093.60 / $9,668.76 / $11,670.11	Professional		$6,093.60	$9,668.76	$11,670.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,791.83 / $8,404.20 / $10,981.46	Professional		$6,791.83	$8,404.20	$10,981.46
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 $4,593.02 / $6,974.78 / $12,268.63	Professional		$4,593.02	$6,974.78	$12,268.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,550.79 / $4,450.28 / $4,450.28	Professional		$3,550.79	$4,450.28	$4,450.28