Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,929.23 / $3,863.24 / $20,680.40	Facility		$1,929.23	$3,863.24	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.69 / $1,858.72 / $3,863.24	Professional		$1,368.69	$1,858.72	$3,863.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,933.86 / $21,374.08	Facility		$55.00	$1,933.86	$21,374.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,142.00 / $3,361.12 / $12,599.10	Professional		$2,142.00	$3,361.12	$12,599.10
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 $1,476.88 / $2,605.19 / $4,245.72	Professional		$1,476.88	$2,605.19	$4,245.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.67 / $3,006.92 / $3,856.16	Facility		$1,412.67	$3,006.92	$3,856.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.67 / $2,927.42 / $3,856.16	Professional		$1,412.67	$2,927.42	$3,856.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.64 / $536.62 / $3,138.22	Professional		$138.64	$536.62	$3,138.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,198.44 / $2,716.56 / $2,931.25	Facility		$2,198.44	$2,716.56	$2,931.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,933.86 / $1,933.86 / $1,957.79	Facility		$1,933.86	$1,933.86	$1,957.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.53 / $3,246.76 / $3,918.81	Professional		$2,060.53	$3,246.76	$3,918.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,283.92 / $2,816.30 / $3,709.94	Professional		$2,283.92	$2,816.30	$3,709.94
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,323.00 / $4,332.00	Facility		$650.00	$1,323.00	$4,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,624.32 / $2,521.81 / $4,119.80	Professional		$1,624.32	$2,521.81	$4,119.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,185.71 / $1,472.25 / $1,472.25	Professional		$1,185.71	$1,472.25	$1,472.25