Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.78 / $3,797.86 / $20,680.40	Facility		$1,953.78	$3,797.86	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.21 / $1,886.62 / $3,797.86	Professional		$1,331.21	$1,886.62	$3,797.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,987.95 / $26,711.04	Facility		$55.00	$1,987.95	$26,711.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.44 / $3,483.24 / $12,794.40	Professional		$2,091.44	$3,483.24	$12,794.40
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 $1,475.21 / $2,579.98 / $4,311.21	Professional		$1,475.21	$2,579.98	$4,311.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,396.24 / $2,977.62 / $3,643.03	Facility		$1,396.24	$2,977.62	$3,643.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,396.24 / $2,870.90 / $3,758.85	Professional		$1,396.24	$2,870.90	$3,758.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $520.14 / $3,192.92	Professional		$134.52	$520.14	$3,192.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,119.25 / $2,760.18 / $2,914.50	Facility		$2,119.25	$2,760.18	$2,914.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,960.13 / $1,960.13 / $1,987.95	Facility		$1,960.13	$1,960.13	$1,987.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,083.51 / $3,295.46 / $3,977.59	Professional		$2,083.51	$3,295.46	$3,977.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,314.94 / $2,859.69 / $3,742.74	Professional		$2,314.94	$2,859.69	$3,742.74
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 $1,614.67 / $2,556.61 / $4,218.39	Professional		$1,614.67	$2,556.61	$4,218.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,204.76 / $1,496.23 / $1,496.23	Professional		$1,204.76	$1,496.23	$1,496.23