Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.42 / $3,886.85 / $20,680.40	Facility		$2,056.42	$3,886.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.18 / $1,975.80 / $3,907.20	Professional		$1,399.18	$1,975.80	$3,907.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,086.66 / $28,043.84	Facility		$55.00	$2,086.66	$28,043.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,228.21 / $3,645.89 / $13,453.50	Professional		$2,228.21	$3,645.89	$13,453.50
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 $1,520.46 / $2,683.97 / $4,536.05	Professional		$1,520.46	$2,683.97	$4,536.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,432.20 / $3,045.28 / $3,844.26	Facility		$1,432.20	$3,045.28	$3,844.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,432.20 / $3,024.76 / $3,844.26	Professional		$1,432.20	$3,024.76	$3,844.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $536.34 / $3,363.84	Professional		$134.52	$536.34	$3,363.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,111.90 / $2,891.05 / $3,059.22	Facility		$2,111.90	$2,891.05	$3,059.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,059.34 / $2,059.34 / $2,086.66	Facility		$2,059.34	$2,059.34	$2,086.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,183.44 / $3,459.05 / $4,175.05	Professional		$2,183.44	$3,459.05	$4,175.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,432.11 / $3,001.69 / $3,922.19	Professional		$2,432.11	$3,001.69	$3,922.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,574.07 / $2,547.05 / $4,460.99	Professional		$1,574.07	$2,547.05	$4,460.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,266.86 / $1,586.98 / $1,586.98	Professional		$1,266.86	$1,586.98	$1,586.98