Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.37 / $3,395.97 / $20,680.40	Facility		$1,813.37	$3,395.97	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.26 / $1,585.60 / $3,395.97	Professional		$1,182.26	$1,585.60	$3,395.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,826.17 / $12,283.12	Facility		$55.00	$1,826.17	$12,283.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,875.19 / $3,191.16 / $11,767.88	Professional		$1,875.19	$3,191.16	$11,767.88
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 $1,291.72 / $2,353.78 / $3,978.02	Professional		$1,291.72	$2,353.78	$3,978.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,255.50 / $2,530.41 / $3,342.53	Facility		$1,255.50	$2,530.41	$3,342.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.50 / $2,530.41 / $3,360.86	Professional		$1,255.50	$2,530.41	$3,360.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $461.30 / $2,960.33	Professional		$108.97	$461.30	$2,960.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,873.76 / $2,546.21 / $2,677.32	Facility		$1,873.76	$2,546.21	$2,677.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.30 / $1,804.30 / $1,826.17	Facility		$1,804.30	$1,804.30	$1,826.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,911.11 / $3,027.62 / $3,654.31	Professional		$1,911.11	$3,027.62	$3,654.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,130.90 / $2,626.97 / $3,432.56	Professional		$2,130.90	$2,626.97	$3,432.56
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 $1,395.00 / $2,246.87 / $3,841.72	Professional		$1,395.00	$2,246.87	$3,841.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,108.41 / $1,395.76 / $1,395.76	Professional		$1,108.41	$1,395.76	$1,395.76