Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.34 / $3,353.22 / $20,680.40	Facility		$1,771.34	$3,353.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.52 / $1,699.01 / $3,402.66	Professional		$1,153.52	$1,699.01	$3,402.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,791.44 / $12,039.04	Facility		$55.00	$1,791.44	$12,039.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.97 / $3,097.84 / $11,549.03	Professional		$1,843.97	$3,097.84	$11,549.03
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 $1,309.72 / $2,304.54 / $3,894.80	Professional		$1,309.72	$2,304.54	$3,894.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,234.10 / $2,520.02 / $3,273.93	Facility		$1,234.10	$2,520.02	$3,273.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.10 / $2,520.02 / $3,311.56	Professional		$1,234.10	$2,520.02	$3,311.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $1,517.12 / $3,077.89	Professional		$184.58	$1,517.12	$3,077.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,847.30 / $2,495.16 / $2,626.40	Facility		$1,847.30	$2,495.16	$2,626.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,770.78 / $1,770.78 / $1,791.44	Facility		$1,770.78	$1,770.78	$1,791.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.57 / $2,971.31 / $3,586.35	Professional		$1,875.57	$2,971.31	$3,586.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,091.32 / $2,577.01 / $3,381.29	Professional		$2,091.32	$2,577.01	$3,381.29
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 $1,449.07 / $2,294.41 / $3,841.22	Professional		$1,449.07	$2,294.41	$3,841.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,087.99 / $1,363.02 / $1,363.02	Professional		$1,087.99	$1,363.02	$1,363.02