Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.96 / $3,416.65 / $20,680.40	Facility		$1,808.96	$3,416.65	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.97 / $1,808.96 / $3,483.13	Professional		$1,181.97	$1,808.96	$3,483.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,808.38 / $12,322.24	Facility		$55.00	$1,808.38	$12,322.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,886.77 / $3,200.78 / $11,814.98	Professional		$1,886.77	$3,200.78	$11,814.98
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 $1,334.02 / $2,359.56 / $3,987.78	Professional		$1,334.02	$2,359.56	$3,987.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,257.67 / $2,571.98 / $3,347.68	Facility		$1,257.67	$2,571.98	$3,347.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,257.67 / $2,571.98 / $3,373.19	Professional		$1,257.67	$2,571.98	$3,373.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $1,517.12 / $3,077.89	Professional		$184.58	$1,517.12	$3,077.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,890.42 / $2,555.25 / $2,687.37	Facility		$1,890.42	$2,555.25	$2,687.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.38 / $1,808.38 / $1,833.03	Facility		$1,808.38	$1,808.38	$1,833.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,916.16 / $3,036.75 / $3,665.33	Professional		$1,916.16	$3,036.75	$3,665.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,135.71 / $2,636.83 / $3,445.45	Professional		$2,135.71	$2,636.83	$3,445.45
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 $1,428.62 / $2,337.60 / $3,853.32	Professional		$1,428.62	$2,337.60	$3,853.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,113.38 / $1,397.41 / $1,397.41	Professional		$1,113.38	$1,397.41	$1,397.41