Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,054.71 / $4,162.35 / $20,680.40	Facility		$2,054.71	$4,162.35	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.19 / $1,981.50 / $4,162.35	Professional		$1,443.19	$1,981.50	$4,162.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,060.69 / $22,763.39	Facility		$55.00	$2,060.69	$22,763.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.75 / $3,599.41 / $13,419.98	Professional		$2,195.75	$3,599.41	$13,419.98
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 $1,544.58 / $2,770.62 / $4,520.85	Professional		$1,544.58	$2,770.62	$4,520.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,492.07 / $3,118.50 / $4,204.01	Facility		$1,492.07	$3,118.50	$4,204.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.76 / $3,094.11 / $4,191.17	Professional		$1,486.76	$3,094.11	$4,191.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.64 / $551.45 / $3,303.79	Professional		$138.64	$551.45	$3,303.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,323.58 / $2,893.35 / $3,159.72	Facility		$2,323.58	$2,893.35	$3,159.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.69 / $2,060.69 / $2,085.29	Facility		$2,060.69	$2,060.69	$2,085.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,195.75 / $3,459.81 / $4,175.96	Professional		$2,195.75	$3,459.81	$4,175.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,433.71 / $2,999.72 / $3,951.56	Professional		$2,433.71	$2,999.72	$3,951.56
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 $1,699.55 / $2,691.00 / $4,390.13	Professional		$1,699.55	$2,691.00	$4,390.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,263.29 / $1,567.14 / $1,567.14	Professional		$1,263.29	$1,567.14	$1,567.14