Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.64 / $3,946.07 / $22,024.00	Facility		$1,734.64	$3,946.07	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.06 / $1,734.64 / $3,946.07	Professional		$1,289.06	$1,734.64	$3,946.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $17,998.75	Facility		$55.00	$5,000.00	$17,998.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.76 / $3,254.37 / $13,077.00	Professional		$2,046.76	$3,254.37	$13,077.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.93 / $2,504.37 / $4,257.27	Professional		$1,438.93	$2,504.37	$4,257.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,319.20 / $2,680.53 / $3,423.88	Facility		$1,319.20	$2,680.53	$3,423.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,343.85 / $2,685.52 / $3,551.76	Professional		$1,343.85	$2,685.52	$3,551.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $624.73 / $2,956.65	Professional		$162.32	$624.73	$2,956.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,001.47 / $2,700.77 / $2,893.06	Facility		$2,001.47	$2,700.77	$2,893.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,904.87 / $1,904.87 / $1,973.33	Facility		$1,904.87	$1,904.87	$1,973.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,197.52 / $3,139.19 / $3,916.86	Professional		$2,197.52	$3,139.19	$3,916.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,942.71 / $2,808.78 / $3,739.39	Professional		$1,942.71	$2,808.78	$3,739.39
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,680.41 / $2,200.54 / $4,063.16	Professional		$1,680.41	$2,200.54	$4,063.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,199.24 / $1,199.24 / $1,504.62	Professional		$1,199.24	$1,199.24	$1,504.62