Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,020.00 / $1,020.00	Professional		$960.00	$1,020.00	$1,020.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $1,140.00 / $4,500.00	Facility		$996.00	$1,140.00	$4,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $996.00 / $4,560.00 / $5,400.00	Professional		$996.00	$4,560.00	$5,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $2,040.00	Facility		$1,020.00	$1,020.00	$2,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $12.82 / $12.82	Professional		$12.82	$12.82	$12.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,020.00	Facility		$996.00	$996.00	$1,020.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $1,020.00 / $1,080.00	Professional		$924.00	$1,020.00	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $946.79	Professional		$788.99	$788.99	$946.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $100.84 / $100.84	Professional		$100.84	$100.84	$100.84