Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.92 / $4,502.09 / $20,680.40	Facility		$2,442.92	$4,502.09	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.13 / $2,347.90 / $4,641.55	Professional		$1,596.13	$2,347.90	$4,641.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,000.00 / $24,988.44	Facility		$55.00	$3,000.00	$24,988.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.18 / $4,424.21 / $15,979.88	Professional		$2,691.18	$4,424.21	$15,979.88
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 $1,800.99 / $3,189.14 / $5,389.82	Professional		$1,800.99	$3,189.14	$5,389.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,696.94 / $3,445.04 / $4,526.74	Facility		$1,696.94	$3,445.04	$4,526.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,696.94 / $3,445.04 / $4,553.93	Professional		$1,696.94	$3,445.04	$4,553.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $646.96 / $4,000.50	Professional		$169.72	$646.96	$4,000.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,523.50 / $3,446.48 / $3,634.08	Facility		$2,523.50	$3,446.48	$3,634.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,447.11 / $2,447.11 / $2,478.77	Facility		$2,447.11	$2,447.11	$2,478.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,592.96 / $4,108.10 / $4,958.43	Professional		$2,592.96	$4,108.10	$4,958.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,890.07 / $3,565.74 / $4,697.18	Professional		$2,890.07	$3,565.74	$4,697.18
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 $1,931.90 / $3,056.59 / $5,212.74	Professional		$1,931.90	$3,056.59	$5,212.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,505.12 / $1,886.62 / $1,886.62	Professional		$1,505.12	$1,886.62	$1,886.62