Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.52 / $2,947.79 / $20,680.40	Facility		$1,736.52	$2,947.79	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.84 / $1,658.83 / $3,241.42	Professional		$1,076.84	$1,658.83	$3,241.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,748.03 / $10,291.19	Facility		$55.00	$1,748.03	$10,291.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,768.60 / $3,023.27 / $11,261.93	Professional		$1,768.60	$3,023.27	$11,261.93
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 $1,213.91 / $2,241.04 / $3,810.38	Professional		$1,213.91	$2,241.04	$3,810.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,193.50 / $2,385.84 / $3,193.57	Facility		$1,193.50	$2,385.84	$3,193.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,193.50 / $2,385.84 / $3,193.57	Professional		$1,193.50	$2,385.84	$3,193.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $454.02 / $2,806.29	Professional		$109.09	$454.02	$2,806.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,667.47 / $2,278.13 / $2,562.75	Facility		$1,667.47	$2,278.13	$2,562.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,728.65 / $1,728.65 / $1,748.03	Facility		$1,728.65	$1,728.65	$1,748.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,830.42 / $2,899.79 / $3,500.02	Professional		$1,830.42	$2,899.79	$3,500.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.56 / $2,514.56 / $3,285.68	Professional		$2,041.56	$2,514.56	$3,285.68
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 $1,337.12 / $2,122.13 / $3,679.52	Professional		$1,337.12	$2,122.13	$3,679.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,063.13 / $1,341.59 / $1,341.59	Professional		$1,063.13	$1,341.59	$1,341.59