Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,305.32 / $4,339.71 / $20,680.40	Facility		$2,305.32	$4,339.71	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.44 / $2,218.16 / $4,380.10	Professional		$1,519.44	$2,218.16	$4,380.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,341.67 / $15,730.56	Facility		$55.00	$2,341.67	$15,730.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,468.08 / $4,045.04 / $15,100.88	Professional		$2,468.08	$4,045.04	$15,100.88
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 $1,707.83 / $3,010.02 / $5,087.10	Professional		$1,707.83	$3,010.02	$5,087.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,607.66 / $3,307.53 / $4,272.06	Facility		$1,607.66	$3,307.53	$4,272.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,607.66 / $3,298.61 / $4,318.85	Professional		$1,607.66	$3,298.61	$4,318.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $630.21 / $3,778.57	Professional		$168.26	$630.21	$3,778.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,421.58 / $3,257.86 / $3,433.08	Facility		$2,421.58	$3,257.86	$3,433.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,312.11 / $2,312.11 / $2,341.67	Facility		$2,312.11	$2,312.11	$2,341.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,449.05 / $3,879.83 / $4,682.92	Professional		$2,449.05	$3,879.83	$4,682.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,730.64 / $3,368.52 / $4,414.96	Professional		$2,730.64	$3,368.52	$4,414.96
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 $1,891.67 / $2,995.20 / $4,923.09	Professional		$1,891.67	$2,995.20	$4,923.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,420.92 / $1,777.22 / $1,777.22	Professional		$1,420.92	$1,777.22	$1,777.22