Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,000.84 / $5,240.88 / $20,680.40	Facility		$3,000.84	$5,240.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.07 / $2,654.48 / $5,709.21	Professional		$1,874.07	$2,654.48	$5,709.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,035.85 / $28,186.84	Facility		$55.00	$3,035.85	$28,186.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,158.17 / $5,288.85 / $19,398.45	Professional		$3,158.17	$5,288.85	$19,398.45
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 $2,212.94 / $3,922.27 / $6,628.85	Professional		$2,212.94	$3,922.27	$6,628.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,093.73 / $4,310.10 / $5,516.29	Facility		$2,093.73	$4,310.10	$5,516.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.73 / $4,288.53 / $5,614.94	Professional		$2,093.73	$4,288.53	$5,614.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $791.16 / $4,919.81	Professional		$203.03	$791.16	$4,919.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,151.19 / $4,239.08 / $4,450.81	Facility		$3,151.19	$4,239.08	$4,450.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,976.21 / $2,976.21 / $3,035.85	Facility		$2,976.21	$2,976.21	$3,035.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,141.16 / $4,976.29 / $6,025.87	Professional		$3,141.16	$4,976.29	$6,025.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,514.95 / $4,350.00 / $5,706.34	Professional		$3,514.95	$4,350.00	$5,706.34
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 $2,443.41 / $3,868.81 / $6,477.02	Professional		$2,443.41	$3,868.81	$6,477.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,832.81 / $2,309.32 / $2,309.32	Professional		$1,832.81	$2,309.32	$2,309.32