Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,869.36 / $5,190.39 / $20,680.40	Facility		$2,869.36	$5,190.39	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.02 / $2,869.36 / $5,919.21	Professional		$1,934.02	$2,869.36	$5,919.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,517.00 / $10,160.00 / $19,560.32	Facility		$1,517.00	$10,160.00	$19,560.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,026.33 / $4,946.71 / $17,933.48	Professional		$3,026.33	$4,946.71	$17,933.48
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 $2,136.41 / $3,833.35 / $6,318.43	Professional		$2,136.41	$3,833.35	$6,318.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,037.94 / $4,284.52 / $5,434.44	Facility		$2,037.94	$4,284.52	$5,434.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,037.94 / $4,150.67 / $5,434.44	Professional		$2,037.94	$4,150.67	$5,434.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.01 / $762.12 / $4,676.17	Professional		$190.01	$762.12	$4,676.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,101.21 / $4,074.52 / $4,248.47	Facility		$3,101.21	$4,074.52	$4,248.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,809.96 / $2,809.96 / $2,865.39	Facility		$2,809.96	$2,809.96	$2,865.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,017.64 / $4,754.85 / $5,739.08	Professional		$3,017.64	$4,754.85	$5,739.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,318.61 / $4,121.89 / $5,429.82	Professional		$3,318.61	$4,121.89	$5,429.82
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 $2,207.33 / $3,611.99 / $6,149.56	Professional		$2,207.33	$3,611.99	$6,149.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,736.19 / $2,210.16 / $2,210.16	Professional		$1,736.19	$2,210.16	$2,210.16