Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.45 / $3,592.14 / $20,680.40	Facility		$1,869.45	$3,592.14	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.56 / $1,797.22 / $3,592.14	Professional		$1,283.56	$1,797.22	$3,592.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,900.21 / $25,550.08	Facility		$55.00	$1,900.21	$25,550.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.34 / $3,284.82 / $12,226.95	Professional		$1,995.34	$3,284.82	$12,226.95
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 $1,425.06 / $2,482.48 / $4,127.93	Professional		$1,425.06	$2,482.48	$4,127.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,357.49 / $2,821.84 / $3,574.34	Facility		$1,357.49	$2,821.84	$3,574.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,326.69 / $2,799.76 / $3,589.36	Professional		$1,326.69	$2,799.76	$3,589.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $1,567.60 / $3,196.95	Professional		$183.59	$1,567.60	$3,196.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,005.57 / $2,642.56 / $2,791.40	Facility		$2,005.57	$2,642.56	$2,791.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,869.98 / $1,869.98 / $1,900.21	Facility		$1,869.98	$1,869.98	$1,900.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.34 / $3,144.04 / $3,794.83	Professional		$1,995.34	$3,144.04	$3,794.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,208.48 / $2,733.47 / $3,571.72	Professional		$2,208.48	$2,733.47	$3,571.72
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 $1,535.85 / $2,350.73 / $3,989.45	Professional		$1,535.85	$2,350.73	$3,989.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,151.76 / $1,437.26 / $1,437.26	Professional		$1,151.76	$1,437.26	$1,437.26