Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.05 / $3,557.84 / $20,680.40	Facility		$1,889.05	$3,557.84	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.05 / $1,813.41 / $3,589.20	Professional		$1,259.05	$1,813.41	$3,589.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,916.20 / $12,879.04	Facility		$55.00	$1,916.20	$12,879.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.39 / $3,358.46 / $12,353.25	Professional		$1,972.39	$3,358.46	$12,353.25
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 $1,394.63 / $2,465.82 / $4,167.37	Professional		$1,394.63	$2,465.82	$4,167.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,314.40 / $2,747.08 / $3,499.45	Facility		$1,314.40	$2,747.08	$3,499.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,314.40 / $2,693.36 / $3,526.40	Professional		$1,314.40	$2,693.36	$3,526.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $1,583.10 / $3,235.09	Professional		$184.51	$1,583.10	$3,235.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,981.07 / $2,670.53 / $2,809.31	Facility		$1,981.07	$2,670.53	$2,809.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $1,889.92 / $1,916.20	Facility		$1,889.92	$1,889.92	$1,916.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,002.56 / $3,175.24 / $3,832.48	Professional		$2,002.56	$3,175.24	$3,832.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,232.02 / $2,756.48 / $3,601.79	Professional		$2,232.02	$2,756.48	$3,601.79
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 $1,470.65 / $2,344.94 / $4,029.03	Professional		$1,470.65	$2,344.94	$4,029.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,163.90 / $1,459.78 / $1,459.78	Professional		$1,163.90	$1,459.78	$1,459.78