Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.74 / $3,593.85 / $22,024.00	Facility		$1,700.74	$3,593.85	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,700.74 / $3,735.93	Professional		$1,236.00	$1,700.74	$3,735.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $17,633.77	Facility		$55.00	$5,000.00	$17,633.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.19 / $3,184.37 / $12,790.43	Professional		$1,989.19	$3,184.37	$12,790.43
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 $1,388.66 / $2,453.83 / $4,173.17	Professional		$1,388.66	$2,453.83	$4,173.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,270.84 / $2,458.62 / $3,340.33	Facility		$1,270.84	$2,458.62	$3,340.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.84 / $2,458.62 / $3,479.73	Professional		$1,270.84	$2,458.62	$3,479.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.84 / $1,386.50 / $3,046.65	Professional		$214.84	$1,386.50	$3,046.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,785.38 / $2,469.46 / $2,832.09	Facility		$1,785.38	$2,469.46	$2,832.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,864.10 / $1,864.10 / $1,931.74	Facility		$1,864.10	$1,864.10	$1,931.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,149.83 / $3,073.03 / $3,834.31	Professional		$2,149.83	$3,073.03	$3,834.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,901.13 / $2,749.58 / $3,660.58	Professional		$1,901.13	$2,749.58	$3,660.58
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 $1,610.95 / $2,266.88 / $3,975.75	Professional		$1,610.95	$2,266.88	$3,975.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,173.56 / $1,476.76	Professional		$1,173.56	$1,173.56	$1,476.76