Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.88 / $3,771.57 / $20,680.40	Facility		$1,971.88	$3,771.57	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.14 / $1,902.77 / $3,771.57	Professional		$1,343.14	$1,902.77	$3,771.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,005.77 / $26,954.24	Facility		$55.00	$2,005.77	$26,954.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.50 / $3,555.90 / $12,908.10	Professional		$2,194.50	$3,555.90	$12,908.10
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 $1,493.27 / $2,578.34 / $4,351.25	Professional		$1,493.27	$2,578.34	$4,351.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,388.49 / $2,962.98 / $3,720.80	Facility		$1,388.49	$2,962.98	$3,720.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,388.49 / $2,868.22 / $3,740.36	Professional		$1,388.49	$2,868.22	$3,740.36
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 $2,159.75 / $2,785.57 / $2,940.63	Facility		$2,159.75	$2,785.57	$2,940.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,977.80 / $1,977.80 / $2,005.77	Facility		$1,977.80	$1,977.80	$2,005.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,098.91 / $3,325.13 / $4,013.41	Professional		$2,098.91	$3,325.13	$4,013.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,335.81 / $2,885.33 / $3,770.15	Professional		$2,335.81	$2,885.33	$3,770.15
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 $1,673.88 / $2,575.21 / $4,219.24	Professional		$1,673.88	$2,575.21	$4,219.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,215.53 / $1,510.87 / $1,510.87	Professional		$1,215.53	$1,510.87	$1,510.87