Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $5,990.28	Facility		$2,545.87	$2,545.87	$5,990.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,545.87 / $2,545.87	Professional		$2,396.11	$2,545.87	$2,545.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $2,645.71 / $13,228.55	Facility		$275.45	$2,645.71	$13,228.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $641.53 / $11,381.53 / $13,478.13	Professional		$641.53	$11,381.53	$13,478.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $283.80 / $430.43 / $2,645.71	Facility		$283.80	$430.43	$2,645.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $380.80 / $605.64	Professional		$237.49	$380.80	$605.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $2,495.94 / $2,995.14	Professional		$60.00	$2,495.94	$2,995.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,571.71 / $79,999.20 / $79,999.20	Facility		$3,571.71	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $5,391.25 / $8,236.64	Facility		$2,545.87	$5,391.25	$8,236.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,306.26 / $2,695.63 / $2,995.14	Professional		$2,306.26	$2,695.63	$2,995.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $330.54 / $2,645.71	Facility		$275.45	$330.54	$2,645.71
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $2,995.14	Professional		$2,495.94	$2,495.94	$2,995.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $2,495.94	Professional		$2,495.94	$2,495.94	$2,495.94