Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.21 / $3,429.73 / $20,680.40	Facility		$1,773.21	$3,429.73	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.76 / $1,711.86 / $3,429.73	Professional		$1,245.76	$1,711.86	$3,429.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,779.38 / $19,670.68	Facility		$55.00	$1,779.38	$19,670.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.64 / $3,099.73 / $11,603.18	Professional		$1,939.64	$3,099.73	$11,603.18
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 $1,339.92 / $2,338.42 / $3,906.26	Professional		$1,339.92	$2,338.42	$3,906.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,253.64 / $2,677.00 / $3,523.70	Facility		$1,253.64	$2,677.00	$3,523.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.64 / $2,581.05 / $3,523.70	Professional		$1,253.64	$2,581.05	$3,523.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $1,488.59 / $3,030.54	Professional		$184.34	$1,488.59	$3,030.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.17 / $2,498.59 / $2,642.48	Facility		$1,995.17	$2,498.59	$2,642.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,779.38 / $1,779.38 / $1,802.41	Facility		$1,779.38	$1,779.38	$1,802.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,886.14 / $2,988.05 / $3,606.56	Professional		$1,886.14	$2,988.05	$3,606.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,101.48 / $2,592.79 / $3,397.72	Professional		$2,101.48	$2,592.79	$3,397.72
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 $1,468.39 / $2,264.90 / $3,791.52	Professional		$1,468.39	$2,264.90	$3,791.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,091.02 / $1,352.77 / $1,352.77	Professional		$1,091.02	$1,352.77	$1,352.77