Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,009.62 / $3,693.13 / $20,680.40	Facility		$2,009.62	$3,693.13	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.92 / $1,912.02 / $3,818.28	Professional		$1,298.92	$1,912.02	$3,818.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,011.26 / $11,841.48	Facility		$55.00	$2,011.26	$11,841.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,050.73 / $3,540.39 / $12,958.50	Professional		$2,050.73	$3,540.39	$12,958.50
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 $1,412.13 / $2,594.60 / $4,385.02	Professional		$1,412.13	$2,594.60	$4,385.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,382.60 / $2,762.10 / $3,688.10	Facility		$1,382.60	$2,762.10	$3,688.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,382.60 / $2,733.49 / $3,697.21	Professional		$1,382.60	$2,733.49	$3,697.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $1,659.03 / $3,381.19	Professional		$184.34	$1,659.03	$3,381.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,054.57 / $2,780.50 / $2,948.67	Facility		$2,054.57	$2,780.50	$2,948.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,992.29 / $1,992.29 / $2,011.26	Facility		$1,992.29	$1,992.29	$2,011.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,107.08 / $3,338.07 / $4,029.02	Professional		$2,107.08	$3,338.07	$4,029.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,352.92 / $2,893.22 / $3,780.46	Professional		$2,352.92	$2,893.22	$3,780.46
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 $1,585.02 / $2,525.80 / $4,235.64	Professional		$1,585.02	$2,525.80	$4,235.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,221.32 / $1,541.80 / $1,541.80	Professional		$1,221.32	$1,541.80	$1,541.80