Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,567.55 / $4,758.28 / $20,680.40	Facility		$2,567.55	$4,758.28	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,670.07 / $2,452.08 / $4,878.35	Professional		$1,670.07	$2,452.08	$4,878.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,580.67 / $19,525.77	Facility		$55.00	$2,580.67	$19,525.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,660.64 / $4,541.01 / $16,630.73	Professional		$2,660.64	$4,541.01	$16,630.73
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 $1,862.10 / $3,325.47 / $5,620.22	Professional		$1,862.10	$3,325.47	$5,620.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,773.20 / $3,577.76 / $4,725.68	Facility		$1,773.20	$3,577.76	$4,725.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,773.20 / $3,577.76 / $4,748.53	Professional		$1,773.20	$3,577.76	$4,748.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $2,136.56 / $4,373.91	Professional		$282.57	$2,136.56	$4,373.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,648.45 / $3,594.51 / $3,783.49	Facility		$2,648.45	$3,594.51	$3,783.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,555.37 / $2,555.37 / $2,580.67	Facility		$2,555.37	$2,555.37	$2,580.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,702.65 / $4,281.58 / $5,167.84	Professional		$2,702.65	$4,281.58	$5,167.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,017.94 / $3,712.33 / $4,850.77	Professional		$3,017.94	$3,712.33	$4,850.77
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 $2,037.65 / $3,298.21 / $5,521.75	Professional		$2,037.65	$3,298.21	$5,521.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,565.03 / $1,969.35 / $1,969.35	Professional		$1,565.03	$1,969.35	$1,969.35