Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.00 / $10,596.56 / $21,917.86	Facility		$5,128.00	$10,596.56	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,344.31 / $5,903.33 / $12,615.50	Professional		$4,344.31	$5,903.33	$12,615.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,702.36 / $44,973.44	Facility		$55.00	$6,702.36	$44,973.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,059.52 / $11,786.01 / $43,245.38	Professional		$7,059.52	$11,786.01	$43,245.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,689.76 / $8,615.92 / $14,523.36	Professional		$4,689.76	$8,615.92	$14,523.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,610.32 / $9,747.50 / $12,218.51	Facility		$4,610.32	$9,747.50	$12,218.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,610.32 / $9,483.59 / $12,416.81	Professional		$4,610.32	$9,483.59	$12,416.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $432.27 / $1,674.25 / $10,720.06	Professional		$432.27	$1,674.25	$10,720.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,038.36 / $9,304.00 / $9,826.21	Facility		$7,038.36	$9,304.00	$9,826.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,632.37 / $6,632.37 / $6,702.36	Facility		$6,632.37	$6,632.37	$6,702.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,021.51 / $11,123.60 / $13,426.09	Professional		$7,021.51	$11,123.60	$13,426.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,832.94 / $9,641.43 / $12,611.44	Professional		$7,832.94	$9,641.43	$12,611.44
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 $5,479.87 / $8,531.99 / $14,706.70	Professional		$5,479.87	$8,531.99	$14,706.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,067.03 / $5,051.60 / $5,051.60	Professional		$4,067.03	$5,051.60	$5,051.60