Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,844.42 / $3,514.01 / $20,680.40	Facility		$1,844.42	$3,514.01	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.17 / $1,844.42 / $3,514.01	Professional		$1,217.17	$1,844.42	$3,514.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,891.98 / $12,724.88	Facility		$55.00	$1,891.98	$12,724.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $3,281.99 / $12,191.55	Professional		$1,989.00	$3,281.99	$12,191.55
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 $1,368.01 / $2,438.10 / $4,104.03	Professional		$1,368.01	$2,438.10	$4,104.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,295.80 / $2,630.35 / $3,464.30	Facility		$1,295.80	$2,630.35	$3,464.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.80 / $2,630.35 / $3,470.93	Professional		$1,295.80	$2,630.35	$3,470.93
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 $1,930.60 / $2,637.55 / $2,773.80	Facility		$1,930.60	$2,637.55	$2,773.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,846.88 / $1,846.88 / $1,891.98	Facility		$1,846.88	$1,846.88	$1,891.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,956.96 / $3,138.71 / $3,763.66	Professional		$1,956.96	$3,138.71	$3,763.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,181.19 / $2,721.64 / $3,542.10	Professional		$2,181.19	$2,721.64	$3,542.10
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 $1,507.42 / $2,303.77 / $3,982.70	Professional		$1,507.42	$2,303.77	$3,982.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.44 / $1,445.15 / $1,445.15	Professional		$1,148.44	$1,445.15	$1,445.15