Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.62 / $2,731.60 / $20,680.40	Facility		$1,349.62	$2,731.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.81 / $1,212.26 / $2,731.60	Professional		$920.81	$1,212.26	$2,731.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,367.34 / $18,398.24	Facility		$55.00	$1,367.34	$18,398.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.10 / $2,410.92 / $8,793.08	Professional		$1,460.10	$2,410.92	$8,793.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,790.57 / $2,974.37	Professional		$1,065.00	$1,790.57	$2,974.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $944.26 / $2,008.80 / $2,533.15	Facility		$944.26	$2,008.80	$2,533.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.26 / $1,952.71 / $2,535.84	Professional		$944.26	$1,952.71	$2,535.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,136.18 / $2,305.42	Professional		$148.17	$1,136.18	$2,305.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,496.62 / $1,904.68 / $2,061.76	Facility		$1,496.62	$1,904.68	$2,061.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,346.32 / $1,346.32 / $1,367.34	Facility		$1,346.32	$1,346.32	$1,367.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,429.85 / $2,265.19 / $2,734.08	Professional		$1,429.85	$2,265.19	$2,734.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,590.02 / $1,966.94 / $2,591.07	Professional		$1,590.02	$1,966.94	$2,591.07
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.04 / $1,716.90 / $2,874.29	Professional		$1,124.04	$1,716.90	$2,874.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $829.31 / $1,038.23 / $1,038.23	Professional		$829.31	$1,038.23	$1,038.23