Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,338.29 / $6,947.28 / $22,024.00	Facility		$3,338.29	$6,947.28	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,472.44 / $3,338.29 / $7,608.36	Professional		$2,472.44	$3,338.29	$7,608.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $28,369.80	Facility		$55.00	$5,000.00	$28,369.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,992.88 / $6,290.36 / $25,295.40	Professional		$3,992.88	$6,290.36	$25,295.40
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 $2,792.95 / $4,826.33 / $8,191.48	Professional		$2,792.95	$4,826.33	$8,191.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,592.63 / $5,204.51 / $6,613.68	Facility		$2,592.63	$5,204.51	$6,613.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,601.83 / $5,237.92 / $6,844.56	Professional		$2,601.83	$5,237.92	$6,844.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.68 / $1,128.00 / $5,619.25	Professional		$294.68	$1,128.00	$5,619.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,960.67 / $5,187.60 / $5,584.45	Facility		$3,960.67	$5,187.60	$5,584.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,688.33 / $3,688.33 / $3,809.10	Facility		$3,688.33	$3,688.33	$3,809.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,247.58 / $6,059.55 / $7,560.68	Professional		$4,247.58	$6,059.55	$7,560.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,761.60 / $5,421.75 / $7,218.11	Professional		$3,761.60	$5,421.75	$7,218.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,987.70 / $7,318.30 / $13,441.00	Facility		$5,987.70	$7,318.30	$13,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,324.95 / $4,504.22 / $7,861.60	Professional		$3,324.95	$4,504.22	$7,861.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,310.41 / $2,310.41 / $2,877.53	Professional		$2,310.41	$2,310.41	$2,877.53