Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,868.07 / $5,871.94 / $22,024.00	Facility		$2,868.07	$5,871.94	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,126.46 / $3,021.64 / $6,497.61	Professional		$2,126.46	$3,021.64	$6,497.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $29,772.71	Facility		$55.00	$5,000.00	$29,772.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,375.10 / $5,396.30 / $21,689.55	Professional		$3,375.10	$5,396.30	$21,689.55
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 $2,370.28 / $4,144.43 / $7,036.36	Professional		$2,370.28	$4,144.43	$7,036.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,184.32 / $4,418.03 / $5,672.81	Facility		$2,184.32	$4,418.03	$5,672.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,231.69 / $4,418.03 / $5,877.30	Professional		$2,231.69	$4,418.03	$5,877.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $378.40 / $2,340.59 / $5,134.31	Professional		$378.40	$2,340.59	$5,134.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,294.12 / $4,457.97 / $4,791.84	Facility		$3,294.12	$4,457.97	$4,791.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.85 / $3,162.85 / $3,268.46	Facility		$3,162.85	$3,162.85	$3,268.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,643.87 / $5,199.50 / $6,487.58	Professional		$3,643.87	$5,199.50	$6,487.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,225.68 / $4,652.22 / $6,193.63	Professional		$3,225.68	$4,652.22	$6,193.63
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 $2,785.44 / $3,900.60 / $6,847.33	Professional		$2,785.44	$3,900.60	$6,847.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,983.27 / $1,983.27 / $2,476.07	Professional		$1,983.27	$1,983.27	$2,476.07