Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,317.87 / $10,122.46 / $20,680.40	Facility		$6,317.87	$10,122.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,184.13 / $6,051.27 / $12,004.00	Professional		$4,184.13	$6,051.27	$12,004.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,430.45 / $75,609.80	Facility		$55.00	$6,430.45	$75,609.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,564.85 / $11,064.95 / $41,460.37	Professional		$6,564.85	$11,064.95	$41,460.37
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 $4,681.04 / $8,268.37 / $13,974.01	Professional		$4,681.04	$8,268.37	$13,974.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,408.51 / $8,871.25 / $11,693.72	Facility		$4,408.51	$8,871.25	$11,693.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,408.51 / $8,871.25 / $11,836.56	Professional		$4,408.51	$8,871.25	$11,836.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $427.94 / $1,659.97 / $10,246.89	Professional		$427.94	$1,659.97	$10,246.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,696.34 / $8,962.67 / $9,427.57	Facility		$6,696.34	$8,962.67	$9,427.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,319.80 / $6,319.80 / $6,430.45	Facility		$6,319.80	$6,319.80	$6,430.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,696.48 / $10,613.03 / $12,809.84	Professional		$6,696.48	$10,613.03	$12,809.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,463.79 / $9,250.27 / $12,086.99	Professional		$7,463.79	$9,250.27	$12,086.99
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 $4,959.43 / $7,926.30 / $13,466.81	Professional		$4,959.43	$7,926.30	$13,466.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,908.57 / $4,892.16 / $4,892.16	Professional		$3,908.57	$4,892.16	$4,892.16