Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.34 / $5,116.62 / $22,024.00	Facility		$1,313.34	$5,116.62	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $959.40 / $1,313.34 / $2,302.98	Professional		$959.40	$1,313.34	$2,302.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,008.06 / $19,883.52	Facility		$55.00	$2,008.06	$19,883.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.79 / $2,818.86 / $13,375.28	Professional		$1,472.79	$2,818.86	$13,375.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.69 / $2,154.56 / $4,231.27	Professional		$1,313.69	$2,154.56	$4,231.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,358.50 / $2,114.14 / $2,777.71	Facility		$1,358.50	$2,114.14	$2,777.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.35 / $2,235.09 / $2,847.75	Professional		$1,405.35	$2,235.09	$2,847.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.93 / $2,110.15 / $3,552.12	Professional		$364.93	$2,110.15	$3,552.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,814.31 / $2,540.44 / $2,943.98	Facility		$1,814.31	$2,540.44	$2,943.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.90 / $1,441.90 / $2,008.06	Facility		$1,441.90	$1,441.90	$2,008.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,746.37 / $2,502.07 / $3,985.80	Professional		$1,746.37	$2,502.07	$3,985.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,453.36 / $2,073.71 / $3,624.17	Professional		$1,453.36	$2,073.71	$3,624.17
United Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,120.00 / $5,793.00	Facility		$501.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.10 / $1,846.16 / $3,145.60	Professional		$1,374.10	$1,846.16	$3,145.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,497.90 / $1,497.90 / $1,497.90	Professional		$1,497.90	$1,497.90	$1,497.90