Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $4,540.82 / $8,581.14	Facility		$119.91	$4,540.82	$8,581.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,513.56 / $4,169.30 / $4,991.92	Professional		$3,513.56	$4,169.30	$4,991.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,857.12 / $6,055.68 / $19,941.65	Facility		$3,857.12	$6,055.68	$19,941.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,540.82 / $17,614.63	Professional		$4,128.02	$4,540.82	$17,614.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $3,989.64 / $7,976.66	Facility		$3,894.36	$3,989.64	$7,976.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $5,062.66	Professional		$4,128.02	$4,128.02	$5,062.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $664.93 / $6,811.23	Facility		$90.83	$664.93	$6,811.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $242.45 / $5,366.43	Professional		$90.83	$242.45	$5,366.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $4,538.10 / $5,384.24	Professional		$75.00	$4,538.10	$5,384.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $4,673.22 / $12,376.65	Facility		$4,125.55	$4,673.22	$12,376.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,349.84 / $5,694.72 / $10,421.70	Facility		$3,349.84	$5,694.72	$10,421.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,215.47 / $5,081.14 / $9,183.70	Professional		$4,215.47	$5,081.14	$9,183.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,857.12 / $4,540.82 / $8,587.87	Facility		$3,857.12	$4,540.82	$8,587.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,540.82 / $4,953.62	Professional		$4,128.02	$4,540.82	$4,953.62
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,953.62	Professional		$4,128.02	$4,128.02	$4,953.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,989.64 / $4,128.02 / $4,128.02	Professional		$3,989.64	$4,128.02	$4,128.02