Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,008.14 / $3,718.17 / $20,680.40	Facility		$2,008.14	$3,718.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.98 / $1,920.35 / $3,815.47	Professional		$1,312.98	$1,920.35	$3,815.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,023.60 / $13,607.04	Facility		$55.00	$2,023.60	$13,607.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,121.32 / $3,556.49 / $13,041.53	Professional		$2,121.32	$3,556.49	$13,041.53
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 $1,475.17 / $2,606.46 / $4,405.07	Professional		$1,475.17	$2,606.46	$4,405.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,392.21 / $2,823.83 / $3,701.82	Facility		$1,392.21	$2,823.83	$3,701.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,392.21 / $2,823.83 / $3,729.79	Professional		$1,392.21	$2,823.83	$3,729.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $1,684.21 / $3,433.67	Professional		$184.58	$1,684.21	$3,433.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,083.96 / $2,816.01 / $2,966.76	Facility		$2,083.96	$2,816.01	$2,966.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,001.35 / $2,001.35 / $2,023.60	Facility		$2,001.35	$2,001.35	$2,023.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,118.12 / $3,355.57 / $4,050.14	Professional		$2,118.12	$3,355.57	$4,050.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,363.63 / $2,910.97 / $3,803.65	Professional		$2,363.63	$2,910.97	$3,803.65
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 $1,565.10 / $2,479.76 / $4,257.87	Professional		$1,565.10	$2,479.76	$4,257.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,227.95 / $1,543.45 / $1,543.45	Professional		$1,227.95	$1,543.45	$1,543.45