Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.38 / $3,312.41 / $20,680.40	Facility		$1,774.38	$3,312.41	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,703.38 / $3,371.32	Professional		$1,163.82	$1,703.38	$3,371.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,800.12 / $12,100.72	Facility		$55.00	$1,800.12	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,881.12 / $3,108.94 / $11,604.00	Professional		$1,881.12	$3,108.94	$11,604.00
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 $1,283.00 / $2,317.23 / $3,916.24	Professional		$1,283.00	$2,317.23	$3,916.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,233.18 / $2,508.03 / $3,287.65	Facility		$1,233.18	$2,508.03	$3,287.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.18 / $2,508.03 / $3,307.15	Professional		$1,233.18	$2,508.03	$3,307.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $1,517.12 / $3,077.89	Professional		$184.58	$1,517.12	$3,077.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,851.08 / $2,509.15 / $2,639.13	Facility		$1,851.08	$2,509.15	$2,639.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.31 / $1,775.31 / $1,800.12	Facility		$1,775.31	$1,775.31	$1,800.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,881.12 / $2,981.97 / $3,599.21	Professional		$1,881.12	$2,981.97	$3,599.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,096.67 / $2,589.50 / $3,383.60	Professional		$2,096.67	$2,589.50	$3,383.60
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 $1,402.97 / $2,255.58 / $3,783.80	Professional		$1,402.97	$2,255.58	$3,783.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,093.78 / $1,372.93 / $1,372.93	Professional		$1,093.78	$1,372.93	$1,372.93