Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,086.90 / $4,152.91 / $20,680.40	Facility		$2,086.90	$4,152.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.19 / $2,000.11 / $4,152.91	Professional		$1,414.19	$2,000.11	$4,152.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,098.09 / $14,320.48	Facility		$55.00	$2,098.09	$14,320.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,665.14 / $13,125.38	Professional		$2,194.96	$3,665.14	$13,125.38
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 $1,561.89 / $2,755.35 / $4,622.91	Professional		$1,561.89	$2,755.35	$4,622.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,481.18 / $3,114.85 / $3,887.90	Facility		$1,481.18	$3,114.85	$3,887.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.18 / $3,030.95 / $3,968.41	Professional		$1,481.18	$3,030.95	$3,968.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $527.53 / $3,432.66	Professional		$112.20	$527.53	$3,432.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,271.82 / $2,985.74 / $3,129.35	Facility		$2,271.82	$2,985.74	$3,129.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,053.00 / $2,053.00 / $2,098.09	Facility		$2,053.00	$2,053.00	$2,098.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,477.31 / $4,197.09	Professional		$2,194.96	$3,477.31	$4,197.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,424.62 / $3,018.12 / $3,943.67	Professional		$2,424.62	$3,018.12	$3,943.67
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 $1,698.21 / $2,636.70 / $4,412.35	Professional		$1,698.21	$2,636.70	$4,412.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,272.67 / $1,616.25 / $1,616.25	Professional		$1,272.67	$1,616.25	$1,616.25