Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.99 / $3,456.26 / $20,680.40	Facility		$1,845.99	$3,456.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.51 / $1,763.15 / $3,540.50	Professional		$1,204.51	$1,763.15	$3,540.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,859.08 / $12,503.20	Facility		$55.00	$1,859.08	$12,503.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.67 / $3,265.08 / $11,981.03	Professional		$1,904.67	$3,265.08	$11,981.03
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 $1,340.03 / $2,395.81 / $4,049.05	Professional		$1,340.03	$2,395.81	$4,049.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,278.13 / $2,579.17 / $3,402.56	Facility		$1,278.13	$2,579.17	$3,402.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,278.13 / $2,579.17 / $3,421.62	Professional		$1,278.13	$2,579.17	$3,421.62
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 $1,909.53 / $2,591.42 / $2,725.56	Facility		$1,909.53	$2,591.42	$2,725.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,837.37 / $1,837.37 / $1,859.08	Facility		$1,837.37	$1,837.37	$1,859.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,946.18 / $3,083.17 / $3,721.36	Professional		$1,946.18	$3,083.17	$3,721.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,169.96 / $2,674.31 / $3,494.41	Professional		$2,169.96	$2,674.31	$3,494.41
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 $1,502.89 / $2,333.44 / $3,912.21	Professional		$1,502.89	$2,333.44	$3,912.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,128.29 / $1,420.23 / $1,420.23	Professional		$1,128.29	$1,420.23	$1,420.23