Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,098.04 / $4,048.08 / $22,024.00	Facility		$2,098.04	$4,048.08	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,526.30 / $2,098.04 / $4,637.74	Professional		$1,526.30	$2,098.04	$4,637.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $21,775.60	Facility		$55.00	$5,000.00	$21,775.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,458.31 / $3,937.66 / $15,833.85	Professional		$2,458.31	$3,937.66	$15,833.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,285.42	Facility		$2,000.00	$2,285.42	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.21 / $3,029.01 / $5,149.77	Professional		$1,721.21	$3,029.01	$5,149.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,599.85 / $3,250.18 / $4,140.93	Facility		$1,599.85	$3,250.18	$4,140.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,629.05 / $3,257.96 / $4,296.07	Professional		$1,629.05	$3,257.96	$4,296.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.34 / $1,713.02 / $3,780.72	Professional		$261.34	$1,713.02	$3,780.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,331.87 / $3,046.44 / $3,501.42	Facility		$2,331.87	$3,046.44	$3,501.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,306.67 / $2,306.67 / $2,388.28	Facility		$2,306.67	$2,306.67	$2,388.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,658.40 / $3,799.30 / $4,740.50	Professional		$2,658.40	$3,799.30	$4,740.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,352.50 / $3,399.41 / $4,525.72	Professional		$2,352.50	$3,399.41	$4,525.72
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.05 / $2,824.12 / $4,996.46	Professional		$1,997.05	$2,824.12	$4,996.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,449.91 / $1,449.91 / $1,816.95	Professional		$1,449.91	$1,449.91	$1,816.95