Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,909.40 / $5,128.00 / $20,680.40	Facility		$2,909.40	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.08 / $2,791.62 / $5,527.86	Professional		$1,918.08	$2,791.62	$5,527.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,939.42 / $19,747.20	Facility		$55.00	$2,939.42	$19,747.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,025.61 / $5,084.26 / $18,955.34	Professional		$3,025.61	$5,084.26	$18,955.34
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 $2,121.89 / $3,783.91 / $6,386.61	Professional		$2,121.89	$3,783.91	$6,386.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,027.09 / $4,102.22 / $5,370.52	Facility		$2,027.09	$4,102.22	$5,370.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,027.09 / $4,102.22 / $5,442.37	Professional		$2,027.09	$4,102.22	$5,442.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $777.92 / $4,706.63	Professional		$203.03	$777.92	$4,706.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,055.64 / $4,086.03 / $4,309.43	Facility		$3,055.64	$4,086.03	$4,309.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,909.62 / $2,909.62 / $2,939.42	Facility		$2,909.62	$2,909.62	$2,939.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,078.24 / $4,876.60 / $5,886.03	Professional		$3,078.24	$4,876.60	$5,886.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,436.31 / $4,228.39 / $5,525.09	Professional		$3,436.31	$4,228.39	$5,525.09
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 $2,270.40 / $3,774.61 / $6,228.09	Professional		$2,270.40	$3,774.61	$6,228.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,782.29 / $2,229.50 / $2,229.50	Professional		$1,782.29	$2,229.50	$2,229.50