Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.30 / $3,900.80 / $13,491.60	Facility		$945.30	$3,900.80	$13,491.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.02 / $600.00 / $2,361.19	Professional		$535.02	$600.00	$2,361.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.98 / $4,018.09 / $11,630.66	Facility		$2,570.98	$4,018.09	$11,630.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $2,497.53 / $12,242.80	Professional		$979.42	$2,497.53	$12,242.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,581.01 / $6,177.64	Facility		$969.00	$3,581.01	$6,177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.40 / $2,813.77 / $3,517.21	Professional		$1,294.40	$2,813.77	$3,517.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,416.44 / $3,060.70 / $6,989.77	Facility		$2,416.44	$3,060.70	$6,989.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $3,599.38 / $6,775.76	Professional		$2,448.56	$3,599.38	$6,775.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,179.21 / $2,598.34	Professional		$1,500.00	$2,179.21	$2,598.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $5,141.97	Facility		$2,448.56	$2,448.56	$5,141.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $3,672.84 / $6,733.54	Facility		$2,448.56	$3,672.84	$6,733.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $2,938.27 / $3,476.96	Professional		$2,203.69	$2,938.27	$3,476.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.98 / $4,018.09 / $6,733.54	Facility		$2,570.98	$4,018.09	$6,733.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,216.73 / $4,306.93 / $5,997.58	Professional		$2,216.73	$4,306.93	$5,997.58
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $1,028.40 / $2,742.39	Professional		$252.88	$1,028.40	$2,742.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,101.84 / $1,101.84 / $1,268.34	Professional		$1,101.84	$1,101.84	$1,268.34