Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,287.34 / $4,672.51 / $22,024.00	Facility		$2,287.34	$4,672.51	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.45 / $2,287.34 / $5,137.93	Professional		$1,698.45	$2,287.34	$5,137.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $19,426.32	Facility		$55.00	$5,000.00	$19,426.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.28 / $4,409.10 / $17,275.73	Professional		$2,681.28	$4,409.10	$17,275.73
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 $1,899.89 / $3,304.68 / $5,614.04	Professional		$1,899.89	$3,304.68	$5,614.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,736.64 / $3,476.22 / $4,512.37	Facility		$1,736.64	$3,476.22	$4,512.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,773.54 / $3,476.22 / $4,686.22	Professional		$1,773.54	$3,476.22	$4,686.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $752.45 / $3,813.43	Professional		$193.36	$752.45	$3,813.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,599.34 / $3,556.18 / $3,819.00	Facility		$2,599.34	$3,556.18	$3,819.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.23 / $2,518.23 / $2,604.90	Facility		$2,518.23	$2,518.23	$2,604.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,902.46 / $4,143.89 / $5,170.47	Professional		$2,902.46	$4,143.89	$5,170.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,568.26 / $3,707.74 / $4,936.20	Professional		$2,568.26	$3,707.74	$4,936.20
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 $2,244.85 / $3,080.28 / $5,454.12	Professional		$2,244.85	$3,080.28	$5,454.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,580.21 / $1,580.21 / $1,978.14	Professional		$1,580.21	$1,580.21	$1,978.14