Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,084.64 / $6,470.00 / $20,680.40	Facility		$4,084.64	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.25 / $3,929.25 / $7,767.78	Professional		$2,666.25	$3,929.25	$7,767.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,137.68 / $27,784.48	Facility		$55.00	$4,137.68	$27,784.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,259.00 / $7,271.92 / $26,687.93	Professional		$4,259.00	$7,271.92	$26,687.93
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 $2,592.13 / $5,313.88 / $8,980.75	Professional		$2,592.13	$5,313.88	$8,980.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,853.86 / $5,731.41 / $7,385.64	Facility		$2,853.86	$5,731.41	$7,385.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,853.86 / $5,606.09 / $7,671.79	Professional		$2,853.86	$5,606.09	$7,671.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.40 / $1,032.01 / $6,627.47	Professional		$265.40	$1,032.01	$6,627.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,269.89 / $5,747.25 / $6,066.18	Facility		$4,269.89	$5,747.25	$6,066.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,095.57 / $4,095.57 / $4,137.68	Facility		$4,095.57	$4,095.57	$4,137.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,259.00 / $6,690.34 / $8,212.87	Professional		$4,259.00	$6,690.34	$8,212.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,836.93 / $5,930.90 / $7,777.39	Professional		$4,836.93	$5,930.90	$7,777.39
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 $3,149.22 / $5,238.01 / $8,843.73	Professional		$3,149.22	$5,238.01	$8,843.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,508.90 / $3,129.80 / $3,129.80	Professional		$2,508.90	$3,129.80	$3,129.80