Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.61 / $2,896.77 / $20,680.40	Facility		$1,533.61	$2,896.77	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.40 / $1,475.26 / $2,960.28	Professional		$1,010.40	$1,475.26	$2,960.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,558.37 / $10,474.87	Facility		$55.00	$1,558.37	$10,474.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.06 / $2,732.17 / $10,044.37	Professional		$1,604.06	$2,732.17	$10,044.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.47 / $2,005.38 / $3,389.20	Professional		$1,130.47	$2,005.38	$3,389.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,065.16 / $2,208.21 / $2,846.90	Facility		$1,065.16	$2,208.21	$2,846.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.16 / $2,182.92 / $2,858.10	Professional		$1,065.16	$2,182.92	$2,858.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,270.44 / $2,584.84	Professional		$148.17	$1,270.44	$2,584.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,608.18 / $2,173.61 / $2,284.69	Facility		$1,608.18	$2,173.61	$2,284.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,537.48 / $1,537.48 / $1,558.37	Facility		$1,537.48	$1,537.48	$1,558.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.12 / $2,583.26 / $3,117.97	Professional		$1,629.12	$2,583.26	$3,117.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,815.79 / $2,241.73 / $2,929.19	Professional		$1,815.79	$2,241.73	$2,929.19
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 $1,194.57 / $1,952.91 / $3,277.87	Professional		$1,194.57	$1,952.91	$3,277.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $947.46 / $1,188.00 / $1,188.00	Professional		$947.46	$1,188.00	$1,188.00