Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,419.81 / $4,519.42 / $20,680.40	Facility		$2,419.81	$4,519.42	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.11 / $2,325.23 / $4,597.64	Professional		$1,590.11	$2,325.23	$4,597.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,452.26 / $16,475.68	Facility		$55.00	$2,452.26	$16,475.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,568.00 / $4,240.97 / $15,810.98	Professional		$2,568.00	$4,240.97	$15,810.98
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 $1,771.26 / $3,152.75 / $5,328.31	Professional		$1,771.26	$3,152.75	$5,328.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,687.02 / $3,441.04 / $4,479.58	Facility		$1,687.02	$3,441.04	$4,479.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,687.02 / $3,441.04 / $4,530.17	Professional		$1,687.02	$3,441.04	$4,530.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $646.09 / $3,933.75	Professional		$168.26	$646.09	$3,933.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,535.75 / $3,413.35 / $3,595.22	Facility		$2,535.75	$3,413.35	$3,595.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,423.55 / $2,423.55 / $2,452.26	Facility		$2,423.55	$2,423.55	$2,452.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,567.67 / $4,067.77 / $4,909.77	Professional		$2,567.67	$4,067.77	$4,909.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,862.25 / $3,527.61 / $4,609.39	Professional		$2,862.25	$3,527.61	$4,609.39
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,323.00 / $4,332.00	Facility		$650.00	$1,323.00	$4,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,989.67 / $3,089.24 / $5,161.57	Professional		$1,989.67	$3,089.24	$5,161.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,488.84 / $1,862.41 / $1,862.41	Professional		$1,488.84	$1,862.41	$1,862.41