Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,394.22 / $7,036.76 / $22,024.00	Facility		$3,394.22	$7,036.76	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,513.28 / $3,394.22 / $7,738.14	Professional		$2,513.28	$3,394.22	$7,738.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $35,255.22	Facility		$55.00	$5,000.00	$35,255.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,048.51 / $6,396.89 / $25,721.03	Professional		$4,048.51	$6,396.89	$25,721.03
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 $2,835.08 / $4,907.58 / $8,328.37	Professional		$2,835.08	$4,907.58	$8,328.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,622.64 / $5,292.00 / $6,724.00	Facility		$2,622.64	$5,292.00	$6,724.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,645.23 / $5,326.71 / $6,959.47	Professional		$2,645.23	$5,326.71	$6,959.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.68 / $1,140.75 / $5,738.92	Professional		$294.68	$1,140.75	$5,738.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,973.41 / $5,274.31 / $5,678.25	Facility		$3,973.41	$5,274.31	$5,678.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,750.39 / $3,750.39 / $3,873.08	Facility		$3,750.39	$3,750.39	$3,873.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,319.52 / $6,161.33 / $7,687.67	Professional		$4,319.52	$6,161.33	$7,687.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,824.90 / $5,512.82 / $7,339.35	Professional		$3,824.90	$5,512.82	$7,339.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,385.34 / $4,721.59 / $8,457.44	Professional		$3,385.34	$4,721.59	$8,457.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,349.34 / $2,349.34 / $2,925.25	Professional		$2,349.34	$2,349.34	$2,925.25