Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,695.48 / $5,268.76 / $22,024.00	Facility		$2,695.48	$5,268.76	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.92 / $2,839.51 / $8,817.00	Professional		$1,999.92	$2,839.51	$8,817.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $40,711.36	Facility		$55.00	$5,000.00	$40,711.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,197.59 / $5,069.88 / $20,381.55	Professional		$3,197.59	$5,069.88	$20,381.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $2,285.42	Facility		$714.97	$765.00	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.40 / $3,895.31 / $6,616.10	Professional		$2,217.40	$3,895.31	$6,616.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,042.95 / $4,004.69 / $5,313.58	Facility		$2,042.95	$4,004.69	$5,313.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,043.17 / $4,004.69 / $5,524.01	Professional		$2,043.17	$4,004.69	$5,524.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.98 / $830.73 / $4,399.88	Professional		$208.98	$830.73	$4,399.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,024.55 / $4,043.82 / $4,503.74	Facility		$3,024.55	$4,043.82	$4,503.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,970.77 / $2,970.77 / $3,071.95	Facility		$2,970.77	$2,970.77	$3,071.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,422.78 / $4,886.89 / $6,097.53	Professional		$3,422.78	$4,886.89	$6,097.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,029.80 / $4,372.52 / $5,821.25	Professional		$3,029.80	$4,372.52	$5,821.25
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 $2,572.58 / $3,632.57 / $6,329.84	Professional		$2,572.58	$3,632.57	$6,329.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,786.99 / $1,786.99 / $2,238.34	Professional		$1,786.99	$1,786.99	$2,238.34