Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,538.21 / $5,247.10 / $22,024.00	Facility		$2,538.21	$5,247.10	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,883.53 / $2,674.08 / $5,806.11	Professional		$1,883.53	$2,674.08	$5,806.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $26,354.57	Facility		$55.00	$5,000.00	$26,354.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,011.23 / $4,917.60 / $19,194.53	Professional		$3,011.23	$4,917.60	$19,194.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,113.92 / $3,669.24 / $6,229.39	Professional		$2,113.92	$3,669.24	$6,229.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,948.41 / $3,943.51 / $5,017.18	Facility		$1,948.41	$3,943.51	$5,017.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,973.77 / $3,969.87 / $5,203.31	Professional		$1,973.77	$3,969.87	$5,203.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $861.76 / $4,291.75	Professional		$211.77	$861.76	$4,291.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,988.02 / $3,945.77 / $4,241.10	Facility		$2,988.02	$3,945.77	$4,241.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,799.54 / $2,799.54 / $2,892.81	Facility		$2,799.54	$2,799.54	$2,892.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,225.12 / $4,601.91 / $5,741.94	Professional		$3,225.12	$4,601.91	$5,741.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,855.16 / $4,117.54 / $5,481.78	Professional		$2,855.16	$4,117.54	$5,481.78
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 $2,400.40 / $3,360.56 / $6,060.45	Professional		$2,400.40	$3,360.56	$6,060.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,754.96 / $1,754.96 / $2,192.48	Professional		$1,754.96	$1,754.96	$2,192.48