Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,838.01 / $3,424.59 / $20,680.40	Facility		$1,838.01	$3,424.59	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.75 / $1,764.14 / $3,492.22	Professional		$1,199.75	$1,764.14	$3,492.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,862.73 / $12,521.68	Facility		$55.00	$1,862.73	$12,521.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.61 / $3,267.50 / $12,006.08	Professional		$1,959.61	$3,267.50	$12,006.08
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 $1,356.72 / $2,397.59 / $4,052.06	Professional		$1,356.72	$2,397.59	$4,052.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,279.06 / $2,621.56 / $3,403.41	Facility		$1,279.06	$2,621.56	$3,403.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.06 / $2,620.06 / $3,430.42	Professional		$1,279.06	$2,620.06	$3,430.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $1,533.51 / $3,150.15	Professional		$184.58	$1,533.51	$3,150.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,906.10 / $2,594.91 / $2,730.92	Facility		$1,906.10	$2,594.91	$2,730.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,838.73 / $1,838.73 / $1,862.73	Facility		$1,838.73	$1,838.73	$1,862.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,948.32 / $3,087.73 / $3,726.87	Professional		$1,948.32	$3,087.73	$3,726.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,171.57 / $2,679.56 / $3,501.28	Professional		$2,171.57	$2,679.56	$3,501.28
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 $1,478.21 / $2,297.96 / $3,922.38	Professional		$1,478.21	$2,297.96	$3,922.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,131.88 / $1,420.32 / $1,420.32	Professional		$1,131.88	$1,420.32	$1,420.32