Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,174.10 / $9,475.20 / $9,892.62	Facility		$4,174.10	$9,475.20	$9,892.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,243.49 / $4,174.10 / $9,892.62	Professional		$3,243.49	$4,174.10	$9,892.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,624.33 / $12,231.57 / $27,521.96	Facility		$5,624.33	$12,231.57	$27,521.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,454.79 / $7,065.45 / $45,286.73	Professional		$4,454.79	$7,065.45	$45,286.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $3,799.01	Professional		$3,229.16	$3,229.16	$3,799.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,799.68 / $6,551.60 / $17,601.07	Facility		$3,799.68	$6,551.60	$17,601.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,014.81 / $6,594.64 / $12,147.70	Professional		$4,014.81	$6,594.64	$12,147.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $6,423.14	Professional		$60.00	$60.00	$6,423.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,780.83 / $6,334.93 / $6,486.97	Facility		$5,780.83	$6,334.93	$6,486.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,624.33 / $7,213.49 / $12,545.20	Facility		$5,624.33	$7,213.49	$12,545.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,113.65 / $6,272.60 / $6,272.60	Facility		$6,113.65	$6,272.60	$6,272.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,688.89 / $7,065.45 / $7,065.45	Professional		$4,688.89	$7,065.45	$7,065.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,856.01 / $3,808.02 / $5,448.89	Professional		$2,856.01	$3,808.02	$5,448.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,438.30 / $5,459.67 / $5,459.67	Professional		$3,438.30	$5,459.67	$5,459.67