Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.74 / $3,180.62 / $20,680.40	Facility		$1,699.74	$3,180.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.13 / $1,699.74 / $3,229.51	Professional		$1,109.13	$1,699.74	$3,229.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,716.95 / $11,547.68	Facility		$55.00	$1,716.95	$11,547.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.96 / $3,012.31 / $11,063.48	Professional		$1,771.96	$3,012.31	$11,063.48
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 $1,235.96 / $2,212.44 / $3,739.14	Professional		$1,235.96	$2,212.44	$3,739.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,178.31 / $2,375.31 / $3,141.02	Facility		$1,178.31	$2,375.31	$3,141.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.31 / $2,375.31 / $3,156.59	Professional		$1,178.31	$2,375.31	$3,156.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $456.51 / $2,753.44	Professional		$109.09	$456.51	$2,753.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,770.36 / $2,394.59 / $2,517.19	Facility		$1,770.36	$2,394.59	$2,517.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,695.13 / $1,695.13 / $1,716.95	Facility		$1,695.13	$1,695.13	$1,716.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,796.16 / $2,846.53 / $3,435.73	Professional		$1,796.16	$2,846.53	$3,435.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,001.97 / $2,469.85 / $3,236.83	Professional		$2,001.97	$2,469.85	$3,236.83
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 $1,381.62 / $2,057.55 / $3,609.55	Professional		$1,381.62	$2,057.55	$3,609.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,042.43 / $1,311.88 / $1,311.88	Professional		$1,042.43	$1,311.88	$1,311.88