Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.34 / $3,643.43 / $22,024.00	Facility		$1,767.34	$3,643.43	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.91 / $1,767.34 / $3,866.51	Professional		$1,283.91	$1,767.34	$3,866.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,005.32 / $14,983.92	Facility		$55.00	$2,005.32	$14,983.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,084.39 / $3,306.11 / $13,271.25	Professional		$2,084.39	$3,306.11	$13,271.25
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 $1,430.16 / $2,549.41 / $4,335.27	Professional		$1,430.16	$2,549.41	$4,335.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,329.60 / $2,679.12 / $3,495.13	Facility		$1,329.60	$2,679.12	$3,495.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.94 / $2,679.12 / $3,615.22	Professional		$1,355.94	$2,679.12	$3,615.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $624.31 / $3,010.92	Professional		$162.32	$624.31	$3,010.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,902.77 / $2,663.92 / $2,939.96	Facility		$1,902.77	$2,663.92	$2,939.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.58 / $1,936.58 / $2,005.32	Facility		$1,936.58	$1,936.58	$2,005.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,232.03 / $3,190.08 / $3,980.35	Professional		$2,232.03	$3,190.08	$3,980.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,975.05 / $2,854.31 / $3,800.01	Professional		$1,975.05	$2,854.31	$3,800.01
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 $1,668.71 / $2,216.61 / $4,127.76	Professional		$1,668.71	$2,216.61	$4,127.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,218.29 / $1,218.29 / $1,535.39	Professional		$1,218.29	$1,218.29	$1,535.39