Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.98 / $3,730.02 / $20,680.40	Facility		$2,105.98	$3,730.02	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.11 / $2,002.72 / $4,001.38	Professional		$1,320.11	$2,002.72	$4,001.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,106.31 / $12,404.63	Facility		$55.00	$2,106.31	$12,404.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,132.54 / $3,685.19 / $13,568.18	Professional		$2,132.54	$3,685.19	$13,568.18
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 $1,446.61 / $2,718.77 / $4,594.87	Professional		$1,446.61	$2,718.77	$4,594.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,444.29 / $2,892.59 / $3,860.11	Facility		$1,444.29	$2,892.59	$3,860.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,444.29 / $2,892.59 / $3,860.11	Professional		$1,444.29	$2,892.59	$3,860.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $534.28 / $3,406.07	Professional		$135.27	$534.28	$3,406.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,008.25 / $2,777.15 / $3,088.03	Facility		$2,008.25	$2,777.15	$3,088.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,086.96 / $2,086.96 / $2,106.31	Facility		$2,086.96	$2,086.96	$2,106.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,206.98 / $3,496.34 / $4,220.05	Professional		$2,206.98	$3,496.34	$4,220.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,464.75 / $3,029.96 / $3,959.13	Professional		$2,464.75	$3,029.96	$3,959.13
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 $1,616.62 / $2,605.87 / $4,436.47	Professional		$1,616.62	$2,605.87	$4,436.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,279.30 / $1,617.31 / $1,617.31	Professional		$1,279.30	$1,617.31	$1,617.31