Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,630.60 / $4,971.34 / $7,486.25	Facility		$4,630.60	$4,971.34	$7,486.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,971.34 / $5,418.80	Professional		$4,678.89	$4,971.34	$5,418.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.97 / $3,897.40 / $24,957.02	Facility		$1,567.97	$3,897.40	$24,957.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,854.35 / $24,212.69 / $24,212.69	Professional		$4,854.35	$24,212.69	$24,212.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $14,441.28	Facility		$4,971.34	$4,971.34	$14,441.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,562.83 / $6,737.97 / $15,495.77	Facility		$3,562.83	$6,737.97	$15,495.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.65 / $5,908.88 / $13,250.55	Professional		$3,548.65	$5,908.88	$13,250.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $5,361.24 / $6,579.71	Professional		$75.00	$5,361.24	$6,579.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,755.00 / $9,314.74 / $9,447.00	Facility		$7,755.00	$9,314.74	$9,447.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,029.71 / $5,166.29 / $11,830.81	Facility		$4,029.71	$5,166.29	$11,830.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,567.97 / $2,461.71 / $6,525.03	Facility		$1,567.97	$2,461.71	$6,525.03
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $4,873.85 / $5,848.63	Professional		$4,873.85	$4,873.85	$5,848.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34