Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,541.33 / $4,699.70 / $20,680.40	Facility		$2,541.33	$4,699.70	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.83 / $2,434.94 / $4,828.53	Professional		$1,669.83	$2,434.94	$4,828.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,563.77 / $30,153.76	Facility		$55.00	$2,563.77	$30,153.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,688.96 / $4,435.34 / $16,527.15	Professional		$2,688.96	$4,435.34	$16,527.15
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 $1,796.91 / $3,299.28 / $5,574.85	Professional		$1,796.91	$3,299.28	$5,574.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,767.00 / $3,597.75 / $4,688.81	Facility		$1,767.00	$3,597.75	$4,688.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,767.00 / $3,597.75 / $4,740.60	Professional		$1,767.00	$3,597.75	$4,740.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $2,094.50 / $4,286.32	Professional		$282.57	$2,094.50	$4,286.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,643.06 / $3,568.11 / $3,758.70	Facility		$2,643.06	$3,568.11	$3,758.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,537.71 / $2,537.71 / $2,563.77	Facility		$2,537.71	$2,537.71	$2,563.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,685.36 / $4,254.18 / $5,134.77	Professional		$2,685.36	$4,254.18	$5,134.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,997.07 / $3,688.01 / $4,845.72	Professional		$2,997.07	$3,688.01	$4,845.72
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 $2,049.73 / $3,178.40 / $5,398.10	Professional		$2,049.73	$3,178.40	$5,398.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,555.65 / $1,949.50 / $1,949.50	Professional		$1,555.65	$1,949.50	$1,949.50