Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.65 / $4,497.00 / $20,680.40	Facility		$940.65	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.94 / $940.65 / $1,960.27	Professional		$690.94	$940.65	$1,960.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $3,412.14	Facility		$55.00	$2,000.00	$3,412.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.17 / $1,671.04 / $6,524.78	Professional		$1,054.17	$1,671.04	$6,524.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.66 / $1,329.86 / $2,237.96	Professional		$768.66	$1,329.86	$2,237.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $764.62 / $1,341.25 / $1,803.28	Facility		$764.62	$1,341.25	$1,803.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.31 / $1,341.25 / $1,817.54	Professional		$723.31	$1,341.25	$1,817.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $1,135.35 / $1,989.87	Professional		$200.42	$1,135.35	$1,989.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.04 / $1,440.33 / $1,501.47	Facility		$986.04	$1,440.33	$1,501.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,008.83 / $1,008.83 / $1,024.14	Facility		$1,008.83	$1,008.83	$1,024.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.15 / $1,647.98 / $2,032.81	Professional		$1,149.15	$1,647.98	$2,032.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,028.86 / $1,457.72 / $1,960.88	Professional		$1,028.86	$1,457.72	$1,960.88
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.04 / $1,195.96 / $2,159.83	Professional		$866.04	$1,195.96	$2,159.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $622.26 / $622.26 / $783.60	Professional		$622.26	$622.26	$783.60