Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.53 / $3,172.53 / $11,596.90	Facility		$1,011.53	$3,172.53	$11,596.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.28 / $2,014.98 / $2,143.60	Professional		$939.28	$2,014.98	$2,143.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,250.78 / $3,517.65 / $10,182.10	Facility		$2,250.78	$3,517.65	$10,182.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $857.44 / $2,250.78 / $10,718.00	Professional		$857.44	$2,250.78	$10,718.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,229.34 / $4,389.02 / $5,573.36	Facility		$2,229.34	$4,389.02	$5,573.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.25 / $2,463.13 / $3,078.92	Professional		$1,133.25	$2,463.13	$3,078.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,115.44 / $2,709.45 / $6,119.08	Facility		$2,115.44	$2,709.45	$6,119.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.60 / $3,151.09 / $5,932.10	Professional		$2,143.60	$3,151.09	$5,932.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $2,143.60 / $4,501.56	Facility		$2,143.60	$2,143.60	$4,501.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $3,215.40 / $5,894.90	Facility		$2,143.60	$3,215.40	$5,894.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.24 / $2,572.32 / $3,043.91	Professional		$1,929.24	$2,572.32	$3,043.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,250.78 / $3,517.65 / $5,894.90	Facility		$2,250.78	$3,517.65	$5,894.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,940.59 / $3,770.62 / $5,250.58	Professional		$1,940.59	$3,770.62	$5,250.58
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $900.31 / $2,400.83	Professional		$252.88	$900.31	$2,400.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $964.62 / $964.62 / $1,110.38	Professional		$964.62	$964.62	$1,110.38