Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,681.67 / $7,641.16 / $22,024.00	Facility		$3,681.67	$7,641.16	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,725.44 / $3,681.67 / $8,469.54	Professional		$2,725.44	$3,681.67	$8,469.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $48,679.40	Facility		$55.00	$5,000.00	$48,679.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,368.27 / $6,943.97 / $27,919.95	Professional		$4,368.27	$6,943.97	$27,919.95
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 $3,084.92 / $5,324.88 / $9,033.64	Professional		$3,084.92	$5,324.88	$9,033.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,871.22 / $5,745.88 / $7,298.45	Facility		$2,871.22	$5,745.88	$7,298.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,871.22 / $5,783.81 / $7,552.00	Professional		$2,871.22	$5,783.81	$7,552.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.65 / $1,242.44 / $6,204.24	Professional		$324.65	$1,242.44	$6,204.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,358.18 / $5,720.99 / $6,161.99	Facility		$4,358.18	$5,720.99	$6,161.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,072.47 / $4,072.47 / $4,203.03	Facility		$4,072.47	$4,072.47	$4,203.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,688.93 / $6,686.22 / $8,342.60	Professional		$4,688.93	$6,686.22	$8,342.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,153.38 / $5,982.46 / $7,964.60	Professional		$4,153.38	$5,982.46	$7,964.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,690.54 / $5,019.30 / $8,699.11	Professional		$3,690.54	$5,019.30	$8,699.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,549.48 / $2,549.48 / $3,171.03	Professional		$2,549.48	$2,549.48	$3,171.03