Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.46 / $4,128.08 / $20,680.40	Facility		$2,099.46	$4,128.08	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.09 / $2,039.24 / $4,128.08	Professional		$1,462.09	$2,039.24	$4,128.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,141.50 / $28,745.28	Facility		$55.00	$2,141.50	$28,745.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,346.80 / $3,803.32 / $13,790.25	Professional		$2,346.80	$3,803.32	$13,790.25
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 $1,595.60 / $2,769.65 / $4,634.02	Professional		$1,595.60	$2,769.65	$4,634.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,490.48 / $3,188.97 / $3,992.97	Facility		$1,490.48	$3,188.97	$3,992.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,490.48 / $3,078.03 / $4,025.64	Professional		$1,490.48	$3,078.03	$4,025.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.76 / $1,776.63 / $3,564.88	Professional		$233.76	$1,776.63	$3,564.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,325.57 / $2,964.73 / $3,139.62	Facility		$2,325.57	$2,964.73	$3,139.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.06 / $2,115.06 / $2,141.50	Facility		$2,115.06	$2,115.06	$2,141.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,242.04 / $3,551.88 / $4,287.09	Professional		$2,242.04	$3,551.88	$4,287.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,497.92 / $3,080.57 / $4,038.69	Professional		$2,497.92	$3,080.57	$4,038.69
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 $1,793.83 / $2,770.21 / $4,506.93	Professional		$1,793.83	$2,770.21	$4,506.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,296.14 / $1,600.43 / $1,600.43	Professional		$1,296.14	$1,600.43	$1,600.43