Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,060.31 / $3,844.12 / $20,680.40	Facility		$2,060.31	$3,844.12	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.90 / $1,976.05 / $3,914.59	Professional		$1,355.90	$1,976.05	$3,914.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,091.69 / $14,055.52	Facility		$55.00	$2,091.69	$14,055.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,153.02 / $3,614.27 / $13,485.68	Professional		$2,153.02	$3,614.27	$13,485.68
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 $1,523.51 / $2,690.32 / $4,546.79	Professional		$1,523.51	$2,690.32	$4,546.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,434.99 / $2,943.75 / $3,819.30	Facility		$1,434.99	$2,943.75	$3,819.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.99 / $2,942.18 / $3,852.18	Professional		$1,434.99	$2,942.18	$3,852.18
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 $2,159.92 / $2,912.65 / $3,066.59	Facility		$2,159.92	$2,912.65	$3,066.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,064.32 / $2,064.32 / $2,091.69	Facility		$2,064.32	$2,064.32	$2,091.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.36 / $3,466.66 / $4,184.22	Professional		$2,187.36	$3,466.66	$4,184.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,438.00 / $3,008.92 / $3,931.64	Professional		$2,438.00	$3,008.92	$3,931.64
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 $1,686.67 / $2,537.07 / $4,398.82	Professional		$1,686.67	$2,537.07	$4,398.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,269.91 / $1,590.56 / $1,590.56	Professional		$1,269.91	$1,590.56	$1,590.56