Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,645.68 / $2,571.38	Facility		$1,092.83	$1,645.68	$2,571.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,092.83 / $1,746.85	Professional		$1,028.55	$1,092.83	$1,746.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $545.50 / $1,440.12 / $5,678.45	Facility		$545.50	$1,440.12	$5,678.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $4,885.62 / $5,785.61	Professional		$1,092.83	$4,885.62	$5,785.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $2,185.67	Facility		$1,092.83	$1,092.83	$2,185.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $421.16 / $1,154.19 / $2,407.28	Facility		$421.16	$1,154.19	$2,407.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $1,160.30 / $2,092.33	Professional		$432.00	$1,160.30	$2,092.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,249.25 / $1,362.82	Professional		$70.00	$1,249.25	$1,362.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,271.38 / $79,999.20 / $79,999.20	Facility		$2,271.38	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $2,314.23 / $3,535.65	Facility		$1,092.83	$2,314.23	$3,535.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.98 / $1,157.11 / $1,285.69	Professional		$989.98	$1,157.11	$1,285.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $545.50 / $654.60 / $1,440.12	Facility		$545.50	$654.60	$1,440.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,285.69	Professional		$1,071.41	$1,071.41	$1,285.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,071.41	Professional		$1,071.41	$1,071.41	$1,071.41