Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.78 / $4,790.99 / $20,680.40	Facility		$2,505.78	$4,790.99	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.59 / $2,373.19 / $4,846.34	Professional		$1,665.59	$2,373.19	$4,846.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,469.76 / $16,788.16	Facility		$55.00	$2,469.76	$16,788.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,637.36 / $4,388.85 / $15,383.70	Professional		$2,637.36	$4,388.85	$15,383.70
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 $1,865.72 / $3,267.21 / $5,415.98	Professional		$1,865.72	$3,267.21	$5,415.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,765.45 / $3,702.48 / $4,619.13	Facility		$1,765.45	$3,702.48	$4,619.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,765.45 / $3,620.06 / $4,739.72	Professional		$1,765.45	$3,620.06	$4,739.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $621.94 / $3,992.54	Professional		$145.05	$621.94	$3,992.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,668.05 / $3,499.05 / $3,648.82	Facility		$2,668.05	$3,499.05	$3,648.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,460.03 / $2,460.03 / $2,469.76	Facility		$2,460.03	$2,460.03	$2,469.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,590.28 / $4,081.47 / $4,926.30	Professional		$2,590.28	$4,081.47	$4,926.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,916.82 / $3,543.80 / $4,661.68	Professional		$2,916.82	$3,543.80	$4,661.68
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 $2,060.65 / $3,263.96 / $5,419.27	Professional		$2,060.65	$3,263.96	$5,419.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,492.15 / $1,889.93 / $1,889.93	Professional		$1,492.15	$1,889.93	$1,889.93