Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.81 / $3,504.61 / $20,680.40	Facility		$1,757.81	$3,504.61	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.72 / $1,678.96 / $3,504.61	Professional		$1,193.72	$1,678.96	$3,504.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,766.31 / $12,060.32	Facility		$55.00	$1,766.31	$12,060.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,856.27 / $2,959.50 / $11,470.21	Professional		$1,856.27	$2,959.50	$11,470.21
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 $1,297.32 / $2,330.66 / $3,891.46	Professional		$1,297.32	$2,330.66	$3,891.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,241.55 / $2,579.98 / $3,315.96	Facility		$1,241.55	$2,579.98	$3,315.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.55 / $2,532.63 / $3,315.96	Professional		$1,241.55	$2,532.63	$3,315.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,493.98 / $2,985.24	Professional		$148.17	$1,493.98	$2,985.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,931.58 / $2,516.56 / $2,652.53	Facility		$1,931.58	$2,516.56	$2,652.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,724.12 / $1,724.12 / $1,766.31	Facility		$1,724.12	$1,724.12	$1,766.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,856.27 / $2,924.90 / $3,529.66	Professional		$1,856.27	$2,924.90	$3,529.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,036.21 / $2,540.85 / $3,320.04	Professional		$2,036.21	$2,540.85	$3,320.04
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 $1,420.81 / $2,243.40 / $3,701.61	Professional		$1,420.81	$2,243.40	$3,701.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.69 / $1,368.31 / $1,368.31	Professional		$1,071.69	$1,368.31	$1,368.31