Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,662.96 / $5,434.98 / $22,024.00	Facility		$2,662.96	$5,434.98	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,903.28 / $2,662.96 / $5,470.95	Professional		$1,903.28	$2,662.96	$5,470.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $40,229.76	Facility		$55.00	$5,000.00	$40,229.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,132.43 / $5,139.68 / $20,137.20	Professional		$3,132.43	$5,139.68	$20,137.20
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 $2,191.38 / $3,848.54 / $6,538.07	Professional		$2,191.38	$3,848.54	$6,538.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,026.88 / $3,980.71 / $5,262.26	Facility		$2,026.88	$3,980.71	$5,262.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.93 / $3,980.71 / $5,457.98	Professional		$2,030.93	$3,980.71	$5,457.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $913.99 / $4,507.19	Professional		$239.28	$913.99	$4,507.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,058.65 / $4,141.83 / $4,450.14	Facility		$3,058.65	$4,141.83	$4,450.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,935.44 / $2,935.44 / $3,035.39	Facility		$2,935.44	$2,935.44	$3,035.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,381.83 / $4,828.72 / $6,024.96	Professional		$3,381.83	$4,828.72	$6,024.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,993.76 / $4,320.47 / $5,751.97	Professional		$2,993.76	$4,320.47	$5,751.97
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 $2,517.59 / $3,609.38 / $6,252.92	Professional		$2,517.59	$3,609.38	$6,252.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,841.65 / $1,841.65 / $2,302.15	Professional		$1,841.65	$1,841.65	$2,302.15