Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,449.88 / $4,573.46 / $20,680.40	Facility		$2,449.88	$4,573.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.16 / $2,355.85 / $4,654.77	Professional		$1,609.16	$2,355.85	$4,654.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,486.08 / $16,702.72	Facility		$55.00	$2,486.08	$16,702.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.08 / $4,301.88 / $16,029.53	Professional		$2,602.08	$4,301.88	$16,029.53
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 $1,796.67 / $3,196.21 / $5,401.77	Professional		$1,796.67	$3,196.21	$5,401.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,709.96 / $3,467.43 / $4,538.74	Facility		$1,709.96	$3,467.43	$4,538.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,709.96 / $3,467.43 / $4,591.80	Professional		$1,709.96	$3,467.43	$4,591.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $646.33 / $3,999.16	Professional		$168.26	$646.33	$3,999.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,583.77 / $3,461.41 / $3,644.80	Facility		$2,583.77	$3,461.41	$3,644.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,455.71 / $2,455.71 / $2,486.08	Facility		$2,455.71	$2,455.71	$2,486.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,601.79 / $4,121.80 / $4,974.97	Professional		$2,601.79	$4,121.80	$4,974.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,900.23 / $3,576.26 / $4,672.96	Professional		$2,900.23	$3,576.26	$4,672.96
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 $2,003.75 / $3,181.80 / $5,249.96	Professional		$2,003.75	$3,181.80	$5,249.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,509.81 / $1,888.75 / $1,888.75	Professional		$1,509.81	$1,888.75	$1,888.75