Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.41 / $3,348.86 / $20,680.40	Facility		$1,861.41	$3,348.86	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.21 / $1,778.43 / $3,536.68	Professional		$1,216.21	$1,778.43	$3,536.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,874.61 / $12,606.88	Facility		$55.00	$1,874.61	$12,606.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.58 / $3,293.26 / $12,080.55	Professional		$1,929.58	$3,293.26	$12,080.55
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 $1,352.94 / $2,415.25 / $4,081.90	Professional		$1,352.94	$2,415.25	$4,081.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,289.59 / $2,614.36 / $3,431.71	Facility		$1,289.59	$2,614.36	$3,431.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.59 / $2,614.36 / $3,454.20	Professional		$1,289.59	$2,614.36	$3,454.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $1,562.26 / $3,170.62	Professional		$184.51	$1,562.26	$3,170.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,923.74 / $2,591.84 / $2,748.34	Facility		$1,923.74	$2,591.84	$2,748.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,853.22 / $1,853.22 / $1,874.61	Facility		$1,853.22	$1,853.22	$1,874.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,962.99 / $3,109.80 / $3,753.50	Professional		$1,962.99	$3,109.80	$3,753.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,188.69 / $2,696.65 / $3,523.62	Professional		$2,188.69	$2,696.65	$3,523.62
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 $1,512.80 / $2,253.90 / $3,946.00	Professional		$1,512.80	$2,253.90	$3,946.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,430.03 / $1,430.03	Professional		$1,136.84	$1,430.03	$1,430.03