Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.34 / $3,062.78 / $20,680.40	Facility		$1,632.34	$3,062.78	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.82 / $1,565.62 / $3,101.45	Professional		$1,065.82	$1,565.62	$3,101.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,655.25 / $11,130.08	Facility		$55.00	$1,655.25	$11,130.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,696.90 / $2,888.80 / $10,668.00	Professional		$1,696.90	$2,888.80	$10,668.00
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 $1,189.13 / $2,131.96 / $3,603.13	Professional		$1,189.13	$2,131.96	$3,603.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,133.35 / $2,284.96 / $3,022.68	Facility		$1,133.35	$2,284.96	$3,022.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.35 / $2,284.96 / $3,037.72	Professional		$1,133.35	$2,284.96	$3,037.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $443.81 / $2,684.09	Professional		$109.07	$443.81	$2,684.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,688.54 / $2,309.17 / $2,426.73	Facility		$1,688.54	$2,309.17	$2,426.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,631.71 / $1,631.71 / $1,655.25	Facility		$1,631.71	$1,631.71	$1,655.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,728.96 / $2,740.76 / $3,308.08	Professional		$1,728.96	$2,740.76	$3,308.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,927.07 / $2,381.10 / $3,111.30	Professional		$1,927.07	$2,381.10	$3,111.30
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 $1,290.07 / $2,071.50 / $3,477.74	Professional		$1,290.07	$2,071.50	$3,477.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,005.71 / $1,264.26 / $1,264.26	Professional		$1,005.71	$1,264.26	$1,264.26