Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.31 / $2,884.56 / $20,680.40	Facility		$1,699.31	$2,884.56	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.78 / $1,638.20 / $3,171.89	Professional		$1,073.78	$1,638.20	$3,171.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,702.78 / $11,487.84	Facility		$55.00	$1,702.78	$11,487.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.12 / $2,934.42 / $10,954.58	Professional		$1,714.12	$2,934.42	$10,954.58
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 $1,082.97 / $2,196.41 / $3,733.81	Professional		$1,082.97	$2,196.41	$3,733.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.24 / $2,298.10 / $3,052.69	Facility		$1,148.24	$2,298.10	$3,052.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.24 / $2,298.10 / $3,065.06	Professional		$1,148.24	$2,298.10	$3,065.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $471.85 / $2,797.18	Professional		$113.35	$471.85	$2,797.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,567.51 / $2,157.30 / $2,496.42	Facility		$1,567.51	$2,157.30	$2,496.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,673.38 / $1,673.38 / $1,702.78	Facility		$1,673.38	$1,673.38	$1,702.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.65 / $2,814.57 / $3,397.16	Professional		$1,771.65	$2,814.57	$3,397.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,976.29 / $2,449.46 / $3,200.63	Professional		$1,976.29	$2,449.46	$3,200.63
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 $1,273.01 / $2,055.53 / $3,559.96	Professional		$1,273.01	$2,055.53	$3,559.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,038.57 / $1,330.98 / $1,330.98	Professional		$1,038.57	$1,330.98	$1,330.98