Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.68 / $3,284.91 / $22,024.00	Facility		$1,620.68	$3,284.91	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.91 / $1,620.68 / $3,533.97	Professional		$1,176.91	$1,620.68	$3,533.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,837.60 / $13,738.14	Facility		$55.00	$1,837.60	$13,738.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.48 / $3,039.73 / $12,155.18	Professional		$1,891.48	$3,039.73	$12,155.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.08 / $2,337.55 / $3,976.47	Professional		$1,306.08	$2,337.55	$3,976.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,176.32 / $2,381.71 / $3,150.42	Facility		$1,176.32	$2,381.71	$3,150.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.13 / $2,381.71 / $3,300.99	Professional		$1,215.13	$2,381.71	$3,300.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $1,303.26 / $2,871.00	Professional		$212.00	$1,303.26	$2,871.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,656.20 / $2,351.03 / $2,694.07	Facility		$1,656.20	$2,351.03	$2,694.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,772.14 / $1,772.14 / $1,837.60	Facility		$1,772.14	$1,772.14	$1,837.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,044.53 / $2,923.27 / $3,647.45	Professional		$2,044.53	$2,923.27	$3,647.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,807.34 / $2,615.58 / $3,482.19	Professional		$1,807.34	$2,615.58	$3,482.19
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 $1,542.42 / $2,181.96 / $3,781.00	Professional		$1,542.42	$2,181.96	$3,781.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,115.58 / $1,115.58 / $1,409.43	Professional		$1,115.58	$1,115.58	$1,409.43