Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,995.90 / $5,322.01 / $22,024.00	Facility		$2,995.90	$5,322.01	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,183.25 / $2,995.90 / $6,674.32	Professional		$2,183.25	$2,995.90	$6,674.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $45,252.64	Facility		$55.00	$5,000.00	$45,252.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,516.24 / $5,793.45 / $22,673.78	Professional		$3,516.24	$5,793.45	$22,673.78
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 $2,469.41 / $4,331.16 / $7,351.81	Professional		$2,469.41	$4,331.16	$7,351.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,310.75 / $4,164.68 / $5,902.54	Facility		$2,310.75	$4,164.68	$5,902.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,323.23 / $4,300.53 / $6,142.27	Professional		$2,323.23	$4,300.53	$6,142.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.61 / $1,061.85 / $5,090.26	Professional		$282.61	$1,061.85	$5,090.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,303.09 / $4,298.70 / $5,008.25	Facility		$3,303.09	$4,298.70	$5,008.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,305.99 / $3,305.99 / $3,416.08	Facility		$3,305.99	$3,305.99	$3,416.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,808.57 / $5,434.33 / $6,780.57	Professional		$3,808.57	$5,434.33	$6,780.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,371.68 / $4,862.34 / $6,473.35	Professional		$3,371.68	$4,862.34	$6,473.35
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 $2,837.00 / $4,008.19 / $7,043.31	Professional		$2,837.00	$4,008.19	$7,043.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,072.98 / $2,072.98 / $2,586.05	Professional		$2,072.98	$2,072.98	$2,586.05