Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.77 / $3,222.25 / $20,680.40	Facility		$1,730.77	$3,222.25	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.72 / $1,652.66 / $3,300.79	Professional		$1,144.72	$1,652.66	$3,300.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,741.63 / $11,715.28	Facility		$55.00	$1,741.63	$11,715.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,829.14 / $3,011.37 / $11,222.25	Professional		$1,829.14	$3,011.37	$11,222.25
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 $1,256.16 / $2,245.11 / $3,794.27	Professional		$1,256.16	$2,245.11	$3,794.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,196.91 / $2,467.25 / $3,188.18	Facility		$1,196.91	$2,467.25	$3,188.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.91 / $2,447.21 / $3,204.13	Professional		$1,196.91	$2,447.21	$3,204.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $459.74 / $2,814.99	Professional		$109.09	$459.74	$2,814.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,780.66 / $2,428.57 / $2,553.37	Facility		$1,780.66	$2,428.57	$2,553.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,722.31 / $1,722.31 / $1,741.63	Facility		$1,722.31	$1,722.31	$1,741.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,823.22 / $2,888.38 / $3,486.25	Professional		$1,823.22	$2,888.38	$3,486.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,034.07 / $2,505.35 / $3,288.73	Professional		$2,034.07	$2,505.35	$3,288.73
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 $1,380.93 / $2,112.98 / $3,669.92	Professional		$1,380.93	$2,112.98	$3,669.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,057.07 / $1,331.46 / $1,331.46	Professional		$1,057.07	$1,331.46	$1,331.46