Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.27 / $2,829.36 / $20,680.40	Facility		$1,490.27	$2,829.36	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,425.50 / $2,831.51	Professional		$1,015.00	$1,425.50	$2,831.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,505.36 / $8,985.20	Facility		$55.00	$1,505.36	$8,985.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.19 / $2,602.82 / $9,455.40	Professional		$1,608.19	$2,602.82	$9,455.40
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 $1,089.39 / $1,971.84 / $3,309.31	Professional		$1,089.39	$1,971.84	$3,309.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,020.36 / $2,155.96 / $2,733.40	Facility		$1,020.36	$2,155.96	$2,733.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.97 / $2,136.86 / $2,772.04	Professional		$1,018.97	$2,136.86	$2,772.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,283.73 / $2,553.88	Professional		$148.17	$1,283.73	$2,553.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,608.67 / $2,109.83 / $2,206.98	Facility		$1,608.67	$2,109.83	$2,206.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,466.36 / $1,466.36 / $1,505.36	Facility		$1,466.36	$1,466.36	$1,505.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,561.15 / $2,496.51 / $2,991.46	Professional		$1,561.15	$2,496.51	$2,991.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,731.80 / $2,165.48 / $2,815.36	Professional		$1,731.80	$2,165.48	$2,815.36
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 $1,219.91 / $1,857.92 / $3,300.69	Professional		$1,219.91	$1,857.92	$3,300.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.13 / $1,169.11 / $1,169.11	Professional		$912.13	$1,169.11	$1,169.11