Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,742.07 / $10,764.50 / $11,238.70	Facility		$4,742.07	$10,764.50	$11,238.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,684.82 / $4,742.07 / $11,238.70	Professional		$3,684.82	$4,742.07	$11,238.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,389.64 / $31,266.85 / $31,266.85	Facility		$6,389.64	$31,266.85	$31,266.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,060.95 / $8,026.87 / $51,449.03	Professional		$5,060.95	$8,026.87	$51,449.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $4,063.89	Facility		$4,063.89	$4,063.89	$4,063.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $4,063.89	Professional		$3,454.31	$3,454.31	$4,063.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,096.31 / $7,297.15 / $13,142.26	Facility		$4,096.31	$7,297.15	$13,142.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,561.03 / $7,491.85 / $13,801.04	Professional		$4,561.03	$7,491.85	$13,801.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $7,297.15	Professional		$60.00	$60.00	$7,297.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,567.44 / $7,196.90 / $8,026.87	Facility		$6,567.44	$7,196.90	$8,026.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,389.64 / $6,389.64 / $11,815.11	Facility		$6,389.64	$6,389.64	$11,815.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,326.92 / $8,026.87 / $8,026.87	Professional		$5,326.92	$8,026.87	$8,026.87
United Facility/Professional Professional Modifier Low / Median / High Price $3,244.63 / $4,866.93 / $6,190.32	Professional		$3,244.63	$4,866.93	$6,190.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,906.15 / $6,202.58 / $6,202.58	Professional		$3,906.15	$6,202.58	$6,202.58