Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,331.96 / $4,806.25 / $22,024.00	Facility		$2,331.96	$4,806.25	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,732.73 / $2,331.96 / $5,284.99	Professional		$1,732.73	$2,331.96	$5,284.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $19,807.38	Facility		$55.00	$5,000.00	$19,807.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,750.20 / $4,379.74 / $17,603.33	Professional		$2,750.20	$4,379.74	$17,603.33
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 $1,936.32 / $3,368.86 / $5,725.34	Professional		$1,936.32	$3,368.86	$5,725.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,778.82 / $3,608.69 / $4,603.33	Facility		$1,778.82	$3,608.69	$4,603.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,808.23 / $3,623.33 / $4,777.99	Professional		$1,808.23	$3,623.33	$4,777.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $768.07 / $3,945.37	Professional		$193.36	$768.07	$3,945.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,719.01 / $3,628.12 / $3,892.70	Facility		$2,719.01	$3,628.12	$3,892.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,565.34 / $2,565.34 / $2,655.17	Facility		$2,565.34	$2,565.34	$2,655.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,957.43 / $4,223.87 / $5,270.25	Professional		$2,957.43	$4,223.87	$5,270.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,616.31 / $3,779.29 / $5,031.46	Professional		$2,616.31	$3,779.29	$5,031.46
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 $2,216.41 / $3,072.72 / $5,557.43	Professional		$2,216.41	$3,072.72	$5,557.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,611.41 / $1,611.41 / $2,019.53	Professional		$1,611.41	$1,611.41	$2,019.53