Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,048.34 / $6,070.03 / $22,024.00	Facility		$3,048.34	$6,070.03	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $3,048.34 / $6,791.74	Professional		$2,259.19	$3,048.34	$6,791.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $46,046.72	Facility		$55.00	$5,000.00	$46,046.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,590.21 / $5,807.36 / $23,077.35	Professional		$3,590.21	$5,807.36	$23,077.35
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 $2,522.00 / $4,406.12 / $7,480.51	Professional		$2,522.00	$4,406.12	$7,480.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,262.75 / $4,437.95 / $6,004.11	Facility		$2,262.75	$4,437.95	$6,004.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,299.73 / $4,441.06 / $6,248.60	Professional		$2,299.73	$4,441.06	$6,248.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.61 / $1,063.67 / $5,130.05	Professional		$282.61	$1,063.67	$5,130.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,489.29 / $4,737.62 / $5,096.68	Facility		$3,489.29	$4,737.62	$5,096.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,364.43 / $3,364.43 / $3,476.40	Facility		$3,364.43	$3,364.43	$3,476.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,875.59 / $5,530.29 / $6,900.31	Professional		$3,875.59	$5,530.29	$6,900.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,431.27 / $4,948.20 / $6,587.66	Professional		$3,431.27	$4,948.20	$6,587.66
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 $2,928.49 / $4,148.64 / $7,165.85	Professional		$2,928.49	$4,148.64	$7,165.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,108.61 / $2,108.61 / $2,629.92	Professional		$2,108.61	$2,108.61	$2,629.92