Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.34 / $2,980.20 / $20,680.40	Facility		$1,592.34	$2,980.20	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.55 / $1,516.78 / $3,052.84	Professional		$1,034.55	$1,516.78	$3,052.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,599.04 / $10,762.08	Facility		$55.00	$1,599.04	$10,762.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.01 / $2,794.97 / $10,298.93	Professional		$1,624.01	$2,794.97	$10,298.93
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 $1,053.00 / $2,063.44 / $3,487.34	Professional		$1,053.00	$2,063.44	$3,487.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,098.64 / $2,194.42 / $2,930.07	Facility		$1,098.64	$2,194.42	$2,930.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.64 / $2,188.23 / $2,937.34	Professional		$1,098.64	$2,188.23	$2,937.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,364.92 / $2,761.83	Professional		$148.17	$1,364.92	$2,761.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,630.34 / $2,233.81 / $2,344.33	Facility		$1,630.34	$2,233.81	$2,344.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,580.52 / $1,580.52 / $1,599.04	Facility		$1,580.52	$1,580.52	$1,599.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,673.85 / $2,651.74 / $3,200.62	Professional		$1,673.85	$2,651.74	$3,200.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,866.62 / $2,300.23 / $3,005.64	Professional		$1,866.62	$2,300.23	$3,005.64
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.26 / $2,038.20 / $3,364.77	Professional		$1,246.26	$2,038.20	$3,364.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $1,226.90 / $1,226.90	Professional		$971.76	$1,226.90	$1,226.90