Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.79 / $3,933.49 / $20,680.40	Facility		$1,950.79	$3,933.49	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.78 / $1,871.82 / $3,933.49	Professional		$1,327.78	$1,871.82	$3,933.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,980.64 / $13,322.48	Facility		$55.00	$1,980.64	$13,322.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,063.52 / $3,418.33 / $12,741.30	Professional		$2,063.52	$3,418.33	$12,741.30
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 $1,441.72 / $2,593.69 / $4,307.59	Professional		$1,441.72	$2,593.69	$4,307.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,367.10 / $2,908.57 / $3,613.50	Facility		$1,367.10	$2,908.57	$3,613.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.10 / $2,804.32 / $3,671.68	Professional		$1,367.10	$2,804.32	$3,671.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $1,625.45 / $3,313.36	Professional		$184.51	$1,625.45	$3,313.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,148.76 / $2,759.18 / $2,939.64	Facility		$2,148.76	$2,759.18	$2,939.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,947.45 / $1,947.45 / $1,980.64	Facility		$1,947.45	$1,947.45	$1,980.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,063.52 / $3,278.72 / $3,957.39	Professional		$2,063.52	$3,278.72	$3,957.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,299.96 / $2,849.17 / $3,722.91	Professional		$2,299.96	$2,849.17	$3,722.91
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 $1,519.73 / $2,442.37 / $4,168.88	Professional		$1,519.73	$2,442.37	$4,168.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,201.45 / $1,504.01 / $1,504.01	Professional		$1,201.45	$1,504.01	$1,504.01