Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.63 / $2,932.33 / $20,680.40	Facility		$1,580.63	$2,932.33	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.57 / $1,505.14 / $3,003.80	Professional		$1,022.57	$1,505.14	$3,003.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,587.16 / $10,682.32	Facility		$55.00	$1,587.16	$10,682.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.76 / $2,744.82 / $10,222.35	Professional		$1,661.76	$2,744.82	$10,222.35
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 $1,137.30 / $2,048.23 / $3,461.62	Professional		$1,137.30	$2,048.23	$3,461.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,090.58 / $2,185.83 / $2,909.49	Facility		$1,090.58	$2,185.83	$2,909.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,090.58 / $2,185.83 / $2,916.21	Professional		$1,090.58	$2,185.83	$2,916.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,362.91 / $2,729.67	Professional		$148.17	$1,362.91	$2,729.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,616.51 / $2,215.02 / $2,326.91	Facility		$1,616.51	$2,215.02	$2,326.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,568.29 / $1,568.29 / $1,587.16	Facility		$1,568.29	$1,568.29	$1,587.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,661.76 / $2,632.71 / $3,177.66	Professional		$1,661.76	$2,632.71	$3,177.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,852.17 / $2,283.15 / $2,983.31	Professional		$1,852.17	$2,283.15	$2,983.31
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 $1,287.00 / $2,128.76 / $3,386.17	Professional		$1,287.00	$2,128.76	$3,386.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $963.47 / $1,216.93 / $1,216.93	Professional		$963.47	$1,216.93	$1,216.93