Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.49 / $3,502.67 / $20,680.40	Facility		$1,866.49	$3,502.67	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.17 / $1,791.15 / $3,546.33	Professional		$1,235.17	$1,791.15	$3,546.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,892.89 / $12,722.72	Facility		$55.00	$1,892.89	$12,722.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.40 / $3,317.41 / $12,203.03	Professional		$1,948.40	$3,317.41	$12,203.03
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 $1,377.42 / $2,436.00 / $4,116.97	Professional		$1,377.42	$2,436.00	$4,116.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,298.28 / $2,669.53 / $3,455.72	Facility		$1,298.28	$2,669.53	$3,455.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,298.28 / $2,660.41 / $3,483.25	Professional		$1,298.28	$2,660.41	$3,483.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $1,583.10 / $3,235.09	Professional		$184.51	$1,583.10	$3,235.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,940.40 / $2,637.72 / $2,775.14	Facility		$1,940.40	$2,637.72	$2,775.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,866.81 / $1,866.81 / $1,892.89	Facility		$1,866.81	$1,866.81	$1,892.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,978.08 / $3,134.91 / $3,783.81	Professional		$1,978.08	$3,134.91	$3,783.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,204.73 / $2,722.95 / $3,557.98	Professional		$2,204.73	$2,722.95	$3,557.98
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 $1,524.47 / $2,400.13 / $3,977.85	Professional		$1,524.47	$2,400.13	$3,977.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,149.55 / $1,442.04 / $1,442.04	Professional		$1,149.55	$1,442.04	$1,442.04