Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,494.22 / $3,494.22 / $3,494.22	Facility		$3,494.22	$3,494.22	$3,494.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.47 / $3,355.00 / $5,604.12	Professional		$1,752.47	$3,355.00	$5,604.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,460.79 / $9,011.04 / $11,933.63	Facility		$6,460.79	$9,011.04	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $627.77 / $1,101.56 / $6,869.73	Professional		$627.77	$1,101.56	$6,869.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,013.30 / $8,495.26 / $12,840.60	Facility		$2,013.30	$8,495.26	$12,840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.76 / $863.68 / $1,399.17	Professional		$498.76	$863.68	$1,399.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.57 / $906.34 / $2,923.63	Facility		$142.57	$906.34	$2,923.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $751.18 / $1,320.85	Professional		$129.31	$751.18	$1,320.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $56.61 / $80.86	Professional		$29.33	$56.61	$80.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $58.68 / $71.43	Facility		$53.76	$58.68	$71.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.75 / $580.75 / $589.99	Facility		$580.75	$580.75	$589.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.06 / $999.23 / $1,224.31	Professional		$671.06	$999.23	$1,224.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,551.62 / $8,807.33 / $17,177.93	Facility		$5,551.62	$8,807.33	$17,177.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.28 / $884.34 / $1,295.85	Professional		$592.28	$884.34	$1,295.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,686.30 / $2,802.63 / $2,877.03	Facility		$2,686.30	$2,802.63	$2,877.03
United Facility/Professional Professional Modifier Low / Median / High Price $619.05 / $2,423.21 / $8,145.13	Professional		$619.05	$2,423.21	$8,145.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Professional		$71.02	$71.02	$71.02