Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.63 / $3,351.19 / $20,680.40	Facility		$1,790.63	$3,351.19	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.88 / $1,709.94 / $3,432.88	Professional		$1,165.88	$1,709.94	$3,432.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,802.41 / $12,123.68	Facility		$55.00	$1,802.41	$12,123.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.13 / $3,166.87 / $11,614.80	Professional		$1,852.13	$3,166.87	$11,614.80
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 $1,299.69 / $2,323.34 / $3,926.57	Professional		$1,299.69	$2,323.34	$3,926.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,239.07 / $2,492.04 / $3,298.80	Facility		$1,239.07	$2,492.04	$3,298.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.07 / $2,492.04 / $3,316.84	Professional		$1,239.07	$2,492.04	$3,316.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $459.74 / $2,899.03	Professional		$108.97	$459.74	$2,899.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,849.75 / $2,512.53 / $2,642.48	Facility		$1,849.75	$2,512.53	$2,642.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,782.10 / $1,782.10 / $1,802.41	Facility		$1,782.10	$1,782.10	$1,802.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,886.14 / $2,988.05 / $3,606.56	Professional		$1,886.14	$2,988.05	$3,606.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,104.69 / $2,592.79 / $3,387.90	Professional		$2,104.69	$2,592.79	$3,387.90
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 $1,446.07 / $2,301.01 / $3,796.66	Professional		$1,446.07	$2,301.01	$3,796.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,093.50 / $1,377.47 / $1,377.47	Professional		$1,093.50	$1,377.47	$1,377.47