Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,913.26 / $3,631.18 / $20,680.40	Facility		$1,913.26	$3,631.18	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.33 / $1,836.36 / $3,635.19	Professional		$1,256.33	$1,836.36	$3,635.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,940.42 / $13,042.16	Facility		$55.00	$1,940.42	$13,042.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,000.96 / $3,401.13 / $12,509.03	Professional		$2,000.96	$3,401.13	$12,509.03
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 $1,385.68 / $2,497.10 / $4,220.24	Professional		$1,385.68	$2,497.10	$4,220.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,331.76 / $2,690.31 / $3,543.19	Facility		$1,331.76	$2,690.31	$3,543.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,331.76 / $2,690.31 / $3,572.18	Professional		$1,331.76	$2,690.31	$3,572.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $1,611.56 / $3,289.31	Professional		$184.51	$1,611.56	$3,289.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,999.20 / $2,703.77 / $2,844.82	Facility		$1,999.20	$2,703.77	$2,844.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,913.93 / $1,913.93 / $1,940.42	Facility		$1,913.93	$1,913.93	$1,940.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,028.00 / $3,214.80 / $3,880.24	Professional		$2,028.00	$3,214.80	$3,880.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,260.38 / $2,791.32 / $3,647.31	Professional		$2,260.38	$2,791.32	$3,647.31
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 $1,492.25 / $2,383.81 / $4,079.23	Professional		$1,492.25	$2,383.81	$4,079.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,178.26 / $1,477.98 / $1,477.98	Professional		$1,178.26	$1,477.98	$1,477.98