Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.26 / $2,769.52 / $18,711.00	Facility		$1,445.26	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.28 / $996.91 / $2,347.12	Professional		$732.28	$996.91	$2,347.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $12,834.50	Facility		$55.00	$5,000.00	$12,834.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.26 / $1,735.93 / $13,245.15	Professional		$1,116.26	$1,735.93	$13,245.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.05 / $1,416.10 / $2,370.17	Professional		$879.05	$1,416.10	$2,370.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $804.48 / $1,535.96 / $2,040.50	Facility		$804.48	$1,535.96	$2,040.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.95 / $1,570.28 / $2,055.96	Professional		$782.95	$1,570.28	$2,055.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $1,189.57 / $2,078.34	Professional		$209.28	$1,189.57	$2,078.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,185.80 / $1,525.48 / $1,630.11	Facility		$1,185.80	$1,525.48	$1,630.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.53 / $1,069.53 / $1,084.46	Facility		$1,069.53	$1,069.53	$1,084.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,217.71 / $1,747.14 / $2,152.55	Professional		$1,217.71	$1,747.14	$2,152.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.78 / $1,543.59 / $2,078.04	Professional		$1,090.78	$1,543.59	$2,078.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.41 / $1,358.94 / $2,319.57	Professional		$995.41	$1,358.94	$2,319.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $658.97 / $658.97 / $829.84	Professional		$658.97	$658.97	$829.84