Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.33 / $2,893.85 / $20,680.40	Facility		$1,545.33	$2,893.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.66 / $1,481.10 / $3,009.70	Professional		$1,004.66	$1,481.10	$3,009.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,604.98 / $8,106.54	Facility		$55.00	$1,604.98	$8,106.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.98 / $2,718.29 / $10,335.23	Professional		$1,604.98	$2,718.29	$10,335.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.09 / $2,067.35 / $3,488.67	Professional		$1,116.09	$2,067.35	$3,488.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,057.09 / $2,155.44 / $2,822.00	Facility		$1,057.09	$2,155.44	$2,822.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.09 / $2,155.36 / $2,822.00	Professional		$1,057.09	$2,155.36	$2,822.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,364.99 / $2,760.64	Professional		$148.17	$1,364.99	$2,760.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,579.27 / $2,179.51 / $2,353.04	Facility		$1,579.27	$2,179.51	$2,353.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,536.58 / $1,536.58 / $1,604.98	Facility		$1,536.58	$1,536.58	$1,604.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,639.75 / $2,573.36 / $3,185.74	Professional		$1,639.75	$2,573.36	$3,185.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,814.72 / $2,284.48 / $2,996.76	Professional		$1,814.72	$2,284.48	$2,996.76
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 $1,214.66 / $1,963.20 / $3,265.34	Professional		$1,214.66	$1,963.20	$3,265.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $976.73 / $1,238.88 / $1,238.88	Professional		$976.73	$1,238.88	$1,238.88