Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.25 / $3,438.64 / $20,680.40	Facility		$1,827.25	$3,438.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.53 / $1,749.56 / $3,515.07	Professional		$1,192.53	$1,749.56	$3,515.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,847.65 / $13,975.20	Facility		$55.00	$1,847.65	$13,975.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,885.24 / $3,240.13 / $11,908.35	Professional		$1,885.24	$3,240.13	$11,908.35
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 $1,302.41 / $2,379.15 / $4,020.90	Professional		$1,302.41	$2,379.15	$4,020.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,268.52 / $2,550.40 / $3,376.83	Facility		$1,268.52	$2,550.40	$3,376.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.52 / $2,550.40 / $3,400.49	Professional		$1,268.52	$2,550.40	$3,400.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $1,520.98 / $3,116.90	Professional		$184.58	$1,520.98	$3,116.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,894.83 / $2,576.19 / $2,708.81	Facility		$1,894.83	$2,576.19	$2,708.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,823.33 / $1,823.33 / $1,847.65	Facility		$1,823.33	$1,823.33	$1,847.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,932.00 / $3,061.86 / $3,695.64	Professional		$1,932.00	$3,061.86	$3,695.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,153.38 / $2,657.87 / $3,472.94	Professional		$2,153.38	$2,657.87	$3,472.94
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 $1,470.38 / $2,345.23 / $3,885.17	Professional		$1,470.38	$2,345.23	$3,885.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.22 / $1,409.70 / $1,409.70	Professional		$1,122.22	$1,409.70	$1,409.70