Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.67 / $2,883.58 / $20,680.40	Facility		$1,496.67	$2,883.58	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.34 / $1,441.82 / $2,883.58	Professional		$1,051.34	$1,441.82	$2,883.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,500.34 / $16,582.02	Facility		$55.00	$1,500.34	$16,582.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.50 / $2,608.07 / $9,771.83	Professional		$1,661.50	$2,608.07	$9,771.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.91 / $1,974.33 / $3,294.41	Professional		$1,147.91	$1,974.33	$3,294.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,078.91 / $2,254.32 / $3,046.11	Facility		$1,078.91	$2,254.32	$3,046.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,056.79 / $2,230.26 / $3,046.11	Professional		$1,056.79	$2,230.26	$3,046.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,274.21 / $2,569.35	Professional		$147.91	$1,274.21	$2,569.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,749.79 / $2,108.60 / $2,231.10	Facility		$1,749.79	$2,108.60	$2,231.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.34 / $1,500.34 / $1,518.61	Facility		$1,500.34	$1,500.34	$1,518.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,598.88 / $2,519.34 / $3,040.82	Professional		$1,598.88	$2,519.34	$3,040.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,771.92 / $2,184.54 / $2,854.46	Professional		$1,771.92	$2,184.54	$2,854.46
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,254.00 / $4,332.00	Facility		$650.00	$1,254.00	$4,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,249.94 / $1,956.00 / $3,196.79	Professional		$1,249.94	$1,956.00	$3,196.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $920.13 / $1,143.49 / $1,143.49	Professional		$920.13	$1,143.49	$1,143.49