Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,105.15 / $5,422.55 / $20,680.40	Facility		$3,105.15	$5,422.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,054.04 / $2,989.86 / $5,907.12	Professional		$2,054.04	$2,989.86	$5,907.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,150.56 / $21,156.16	Facility		$55.00	$3,150.56	$21,156.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,299.16 / $5,538.40 / $20,321.48	Professional		$3,299.16	$5,538.40	$20,321.48
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 $2,262.32 / $4,050.25 / $6,838.54	Professional		$2,262.32	$4,050.25	$6,838.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,169.07 / $4,484.39 / $5,749.53	Facility		$2,169.07	$4,484.39	$5,749.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,169.07 / $4,453.29 / $5,830.67	Professional		$2,169.07	$4,453.29	$5,830.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $2,597.28 / $5,297.58	Professional		$332.60	$2,597.28	$5,297.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,254.09 / $4,379.22 / $4,618.97	Facility		$3,254.09	$4,379.22	$4,618.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,116.64 / $3,116.64 / $3,150.56	Facility		$3,116.64	$3,116.64	$3,150.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,298.70 / $5,225.85 / $6,307.57	Professional		$3,298.70	$5,225.85	$6,307.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,680.80 / $4,532.12 / $5,921.95	Professional		$3,680.80	$4,532.12	$5,921.95
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 $2,561.94 / $3,842.93 / $6,674.57	Professional		$2,561.94	$3,842.93	$6,674.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,911.77 / $2,385.30 / $2,385.30	Professional		$1,911.77	$2,385.30	$2,385.30