Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,699.71 / $5,044.79 / $20,680.40	Facility		$2,699.71	$5,044.79	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.71 / $2,591.98 / $5,129.45	Professional		$1,777.71	$2,591.98	$5,129.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,729.66 / $18,339.91	Facility		$55.00	$2,729.66	$18,339.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,809.70 / $4,723.31 / $17,600.18	Professional		$2,809.70	$4,723.31	$17,600.18
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 $1,997.50 / $3,511.05 / $5,931.72	Professional		$1,997.50	$3,511.05	$5,931.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,881.39 / $3,856.78 / $4,989.79	Facility		$1,881.39	$3,856.78	$4,989.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,881.39 / $3,856.78 / $5,050.54	Professional		$1,881.39	$3,856.78	$5,050.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $2,241.68 / $4,615.16	Professional		$282.57	$2,241.68	$4,615.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,827.30 / $3,797.05 / $4,001.91	Facility		$2,827.30	$3,797.05	$4,001.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,701.69 / $2,701.69 / $2,729.66	Facility		$2,701.69	$2,701.69	$2,729.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,859.71 / $4,530.39 / $5,468.15	Professional		$2,859.71	$4,530.39	$5,468.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,190.74 / $3,926.65 / $5,130.81	Professional		$3,190.74	$3,926.65	$5,130.81
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 $2,192.61 / $3,384.30 / $5,776.65	Professional		$2,192.61	$3,384.30	$5,776.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,656.13 / $2,072.21 / $2,072.21	Professional		$1,656.13	$2,072.21	$2,072.21