Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,184.63 / $6,624.46 / $22,024.00	Facility		$3,184.63	$6,624.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,359.88 / $3,356.20 / $7,337.47	Professional		$2,359.88	$3,356.20	$7,337.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $33,083.37	Facility		$55.00	$5,000.00	$33,083.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,827.94 / $5,998.94 / $24,124.80	Professional		$3,827.94	$5,998.94	$24,124.80
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 $2,661.76 / $4,604.18 / $7,816.62	Professional		$2,661.76	$4,604.18	$7,816.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,465.81 / $4,961.78 / $6,306.36	Facility		$2,465.81	$4,961.78	$6,306.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,480.92 / $4,993.91 / $6,529.86	Professional		$2,480.92	$4,993.91	$6,529.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.61 / $1,083.09 / $5,387.09	Professional		$282.61	$1,083.09	$5,387.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,740.82 / $4,950.85 / $5,327.17	Facility		$3,740.82	$4,950.85	$5,327.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,517.55 / $3,517.55 / $3,633.61	Facility		$3,517.55	$3,517.55	$3,633.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,050.80 / $5,780.38 / $7,212.35	Professional		$4,050.80	$5,780.38	$7,212.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,587.43 / $5,171.96 / $6,885.57	Professional		$3,587.43	$5,171.96	$6,885.57
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 $3,176.03 / $4,312.05 / $7,612.02	Professional		$3,176.03	$4,312.05	$7,612.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,204.40 / $2,204.40 / $2,747.35	Professional		$2,204.40	$2,204.40	$2,747.35