Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.46 / $3,225.51 / $22,024.00	Facility		$1,420.46	$3,225.51	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.46 / $1,420.46 / $3,114.06	Professional		$1,079.46	$1,420.46	$3,114.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $15,720.65	Facility		$55.00	$5,000.00	$15,720.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.38 / $2,691.98 / $11,380.80	Professional		$1,740.38	$2,691.98	$11,380.80
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 $1,166.75 / $2,040.49 / $3,722.31	Professional		$1,166.75	$2,040.49	$3,722.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,080.04 / $2,145.73 / $2,855.93	Facility		$1,080.04	$2,145.73	$2,855.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.04 / $2,193.69 / $2,880.52	Professional		$1,080.04	$2,193.69	$2,880.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $1,247.58 / $2,723.03	Professional		$208.79	$1,247.58	$2,723.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,617.00 / $2,221.05 / $2,522.55	Facility		$1,617.00	$2,221.05	$2,522.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,528.42 / $1,528.42 / $1,720.61	Facility		$1,528.42	$1,528.42	$1,720.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.06 / $2,634.12 / $3,415.23	Professional		$1,771.06	$2,634.12	$3,415.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,558.79 / $2,315.48 / $3,179.09	Professional		$1,558.79	$2,315.48	$3,179.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.33 / $1,889.55 / $3,319.39	Professional		$1,360.33	$1,889.55	$3,319.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,045.75 / $1,045.75 / $1,319.95	Professional		$1,045.75	$1,045.75	$1,319.95