Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.63 / $2,917.38 / $20,680.40	Facility		$1,574.63	$2,917.38	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.38 / $1,498.41 / $2,991.80	Professional		$1,024.38	$1,498.41	$2,991.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,579.39 / $10,630.72	Facility		$55.00	$1,579.39	$10,630.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.56 / $2,730.54 / $10,172.54	Professional		$1,607.56	$2,730.54	$10,172.54
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 $1,133.02 / $2,038.62 / $3,445.38	Professional		$1,133.02	$2,038.62	$3,445.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,088.72 / $2,173.84 / $2,894.92	Facility		$1,088.72	$2,173.84	$2,894.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.72 / $2,173.84 / $2,909.17	Professional		$1,088.72	$2,173.84	$2,909.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,352.29 / $2,702.06	Professional		$148.17	$1,352.29	$2,702.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,599.85 / $2,194.25 / $2,315.52	Facility		$1,599.85	$2,194.25	$2,315.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,561.49 / $1,561.49 / $1,579.39	Facility		$1,561.49	$1,561.49	$1,579.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.19 / $2,619.02 / $3,161.13	Professional		$1,653.19	$2,619.02	$3,161.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,844.15 / $2,271.96 / $2,968.70	Professional		$1,844.15	$2,271.96	$2,968.70
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 $1,204.66 / $1,893.10 / $3,323.26	Professional		$1,204.66	$1,893.10	$3,323.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $958.51 / $1,211.21 / $1,211.21	Professional		$958.51	$1,211.21	$1,211.21