Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,278.53 / $10,122.46 / $27,982.24	Facility		$3,278.53	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $2,452.32 / $3,569.00	Professional		$1,312.50	$2,452.32	$3,569.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,480.51 / $21,416.16	Facility		$55.00	$3,480.51	$21,416.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,373.92 / $5,445.44 / $20,181.30	Professional		$3,373.92	$5,445.44	$20,181.30
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 $1,946.34 / $5,108.76 / $7,708.52	Professional		$1,946.34	$5,108.76	$7,708.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,396.29 / $4,502.01 / $8,037.90	Facility		$2,396.29	$4,502.01	$8,037.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,129.69 / $4,306.68 / $7,761.75	Professional		$2,129.69	$4,306.68	$7,761.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,232.55 / $1,760.79	Professional		$75.00	$1,232.55	$1,760.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,248.22 / $1,444.16 / $1,600.72	Facility		$1,248.22	$1,444.16	$1,600.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,184.14 / $3,184.14 / $3,480.51	Facility		$3,184.14	$3,184.14	$3,480.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,722.78 / $5,856.14 / $7,138.48	Professional		$3,722.78	$5,856.14	$7,138.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,396.96 / $3,988.59 / $5,663.01	Professional		$3,396.96	$3,988.59	$5,663.01
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 $2,338.28 / $3,729.73 / $6,237.94	Professional		$2,338.28	$3,729.73	$6,237.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.32 / $1,737.32 / $2,078.69	Professional		$1,737.32	$1,737.32	$2,078.69