Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $5,128.00 / $22,024.00	Facility		$1,185.65	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $1,185.65 / $1,301.09	Professional		$224.97	$1,185.65	$1,301.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $1,766.76 / $6,566.93	Facility		$90.00	$1,766.76	$6,566.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.48 / $2,677.19 / $10,696.28	Professional		$1,562.48	$2,677.19	$10,696.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,749.34 / $3,749.34 / $3,749.34	Professional		$3,749.34	$3,749.34	$3,749.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,209.45 / $1,718.89 / $2,455.55	Facility		$1,209.45	$1,718.89	$2,455.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.05 / $1,532.05 / $1,766.76	Facility		$1,532.05	$1,532.05	$1,766.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,766.76 / $2,573.36 / $3,506.85	Professional		$1,766.76	$2,573.36	$3,506.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,562.48 / $2,125.48 / $2,890.41	Professional		$1,562.48	$2,125.48	$2,890.41
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.41 / $1,962.14 / $3,732.63	Professional		$1,360.41	$1,962.14	$3,732.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.30 / $479.30 / $1,092.33	Professional		$479.30	$479.30	$1,092.33