Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,925.36 / $6,470.00 / $20,680.40	Facility		$3,925.36	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,578.44 / $3,765.15 / $7,458.18	Professional		$2,578.44	$3,765.15	$7,458.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,959.91 / $29,930.04	Facility		$55.00	$3,959.91	$29,930.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,228.52 / $6,853.32 / $25,535.03	Professional		$4,228.52	$6,853.32	$25,535.03
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 $2,894.53 / $5,103.14 / $8,604.91	Professional		$2,894.53	$5,103.14	$8,604.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,726.45 / $5,601.29 / $7,240.73	Facility		$2,726.45	$5,601.29	$7,240.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,726.45 / $5,589.82 / $7,318.71	Professional		$2,726.45	$5,589.82	$7,318.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $991.01 / $6,383.18	Professional		$247.14	$991.01	$6,383.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,108.16 / $5,501.85 / $5,805.55	Facility		$4,108.16	$5,501.85	$5,805.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,924.34 / $3,924.34 / $3,959.91	Facility		$3,924.34	$3,924.34	$3,959.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,149.31 / $6,573.42 / $7,934.06	Professional		$4,149.31	$6,573.42	$7,934.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,634.71 / $5,696.37 / $7,493.50	Professional		$4,634.71	$5,696.37	$7,493.50
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 $3,060.76 / $4,918.97 / $8,340.96	Professional		$3,060.76	$4,918.97	$8,340.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,399.58 / $3,002.45 / $3,002.45	Professional		$2,399.58	$3,002.45	$3,002.45