Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.14 / $7,504.29 / $22,024.00	Facility		$3,600.14	$7,504.29	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,664.23 / $3,781.00 / $8,321.42	Professional		$2,664.23	$3,781.00	$8,321.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $47,606.44	Facility		$55.00	$5,000.00	$47,606.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,266.93 / $6,857.06 / $27,315.15	Professional		$4,266.93	$6,857.06	$27,315.15
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 $3,017.51 / $5,207.81 / $8,833.48	Professional		$3,017.51	$5,207.81	$8,833.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,768.97 / $5,623.53 / $7,140.85	Facility		$2,768.97	$5,623.53	$7,140.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,809.22 / $5,653.26 / $7,385.64	Professional		$2,809.22	$5,653.26	$7,385.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $1,246.37 / $6,076.04	Professional		$326.25	$1,246.37	$6,076.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,247.60 / $5,593.71 / $6,027.32	Facility		$4,247.60	$5,593.71	$6,027.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,984.59 / $3,984.59 / $4,111.17	Facility		$3,984.59	$3,984.59	$4,111.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,587.21 / $6,540.09 / $8,160.27	Professional		$4,587.21	$6,540.09	$8,160.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,063.75 / $5,851.72 / $7,790.54	Professional		$4,063.75	$5,851.72	$7,790.54
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 $3,439.59 / $4,815.42 / $8,619.99	Professional		$3,439.59	$4,815.42	$8,619.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,493.71 / $2,493.71 / $3,099.28	Professional		$2,493.71	$2,493.71	$3,099.28