Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,908.44 / $6,470.00 / $20,680.40	Facility		$3,908.44	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.41 / $3,908.44 / $7,380.40	Professional		$2,570.41	$3,908.44	$7,380.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,942.54 / $29,799.00	Facility		$55.00	$3,942.54	$29,799.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,209.97 / $6,825.55 / $25,422.90	Professional		$4,209.97	$6,825.55	$25,422.90
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 $2,882.45 / $5,080.60 / $8,567.34	Professional		$2,882.45	$5,080.60	$8,567.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,714.98 / $5,586.90 / $7,210.71	Facility		$2,714.98	$5,586.90	$7,210.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,714.98 / $5,566.95 / $7,288.77	Professional		$2,714.98	$5,566.95	$7,288.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $991.01 / $6,358.66	Professional		$247.14	$991.01	$6,358.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,082.68 / $5,477.90 / $5,780.09	Facility		$4,082.68	$5,477.90	$5,780.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,907.13 / $3,907.13 / $3,942.54	Facility		$3,907.13	$3,907.13	$3,942.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,132.50 / $6,546.78 / $7,901.91	Professional		$4,132.50	$6,546.78	$7,901.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,614.38 / $5,671.39 / $7,410.59	Professional		$4,614.38	$5,671.39	$7,410.59
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 $3,209.09 / $4,813.64 / $8,307.15	Professional		$3,209.09	$4,813.64	$8,307.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,389.09 / $2,989.48 / $2,989.48	Professional		$2,389.09	$2,989.48	$2,989.48