Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.64 / $4,417.24 / $22,024.00	Facility		$1,958.64	$4,417.24	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.70 / $1,958.64 / $4,017.10	Professional		$1,401.70	$1,958.64	$4,017.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $16,623.27	Facility		$55.00	$5,000.00	$16,623.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.26 / $3,764.14 / $14,754.15	Professional		$2,292.26	$3,764.14	$14,754.15
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 $1,620.26 / $2,827.89 / $4,806.64	Professional		$1,620.26	$2,827.89	$4,806.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,483.20 / $2,966.14 / $3,868.83	Facility		$1,483.20	$2,966.14	$3,868.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.30 / $2,966.14 / $4,010.52	Professional		$1,513.30	$2,966.14	$4,010.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $648.92 / $3,276.45	Professional		$162.32	$648.92	$3,276.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,269.00 / $3,047.11 / $3,264.91	Facility		$2,269.00	$3,047.11	$3,264.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,151.75 / $2,151.75 / $2,226.96	Facility		$2,151.75	$2,151.75	$2,226.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,480.11 / $3,542.67 / $4,420.30	Professional		$2,480.11	$3,542.67	$4,420.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,194.50 / $3,169.79 / $4,220.02	Professional		$2,194.50	$3,169.79	$4,220.02
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 $1,876.16 / $2,632.07 / $4,585.67	Professional		$1,876.16	$2,632.07	$4,585.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,352.18 / $1,352.18 / $1,698.09	Professional		$1,352.18	$1,352.18	$1,698.09