Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.68 / $2,958.00 / $20,680.40	Facility		$1,483.68	$2,958.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.99 / $1,483.68 / $2,926.20	Professional		$1,030.99	$1,483.68	$2,926.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,594.47 / $10,715.44	Facility		$55.00	$1,594.47	$10,715.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.99 / $2,750.02 / $10,278.83	Professional		$1,604.99	$2,750.02	$10,278.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.16 / $2,051.10 / $3,466.47	Professional		$1,119.16	$2,051.10	$3,466.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.16 / $2,214.61 / $2,891.49	Facility		$1,096.16	$2,214.61	$2,891.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.16 / $2,214.61 / $2,926.04	Professional		$1,096.16	$2,214.61	$2,926.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $549.87 / $2,462.99	Professional		$148.09	$549.87	$2,462.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,645.91 / $2,222.87 / $2,337.63	Facility		$1,645.91	$2,222.87	$2,337.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,573.72 / $1,573.72 / $1,594.47	Facility		$1,573.72	$1,573.72	$1,594.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,667.52 / $2,643.37 / $3,190.52	Professional		$1,667.52	$2,643.37	$3,190.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,604.99 / $2,269.53 / $2,997.05	Professional		$1,604.99	$2,269.53	$2,997.05
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.47 / $1,935.71 / $3,354.15	Professional		$1,192.47	$1,935.71	$3,354.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $969.28 / $1,214.25 / $1,214.25	Professional		$969.28	$1,214.25	$1,214.25