Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.19 / $4,141.75 / $20,680.40	Facility		$2,234.19	$4,141.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.72 / $2,145.05 / $4,244.96	Professional		$1,455.72	$2,145.05	$4,244.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,000.25 / $22,850.64	Facility		$55.00	$4,000.25	$22,850.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,368.80 / $4,034.64 / $14,609.33	Professional		$2,368.80	$4,034.64	$14,609.33
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 $1,615.75 / $2,917.14 / $4,930.12	Professional		$1,615.75	$2,917.14	$4,930.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,522.10 / $3,152.42 / $4,085.52	Facility		$1,522.10	$3,152.42	$4,085.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,522.10 / $3,120.40 / $4,085.52	Professional		$1,522.10	$3,120.40	$4,085.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $608.02 / $3,634.29	Professional		$149.71	$608.02	$3,634.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,293.19 / $3,142.97 / $3,322.53	Facility		$2,293.19	$3,142.97	$3,322.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,235.56 / $3,277.62 / $6,637.66	Facility		$2,235.56	$3,277.62	$6,637.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,368.80 / $3,755.04 / $4,532.30	Professional		$2,368.80	$3,755.04	$4,532.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,640.23 / $3,260.05 / $4,294.49	Professional		$2,640.23	$3,260.05	$4,294.49
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 $1,848.21 / $2,828.99 / $4,764.74	Professional		$1,848.21	$2,828.99	$4,764.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,376.19 / $1,727.43 / $1,727.43	Professional		$1,376.19	$1,727.43	$1,727.43