Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.83 / $2,102.50 / $20,680.40	Facility		$1,110.83	$2,102.50	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.67 / $1,062.93 / $2,110.58	Professional		$754.67	$1,062.93	$2,110.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,107.13 / $7,537.84	Facility		$55.00	$1,107.13	$7,537.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.59 / $1,929.87 / $7,201.43	Professional		$1,195.59	$1,929.87	$7,201.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.23 / $1,451.64 / $2,440.48	Professional		$825.23	$1,451.64	$2,440.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $775.31 / $1,644.00 / $2,089.23	Facility		$775.31	$1,644.00	$2,089.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.31 / $1,585.08 / $2,089.23	Professional		$775.31	$1,585.08	$2,089.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $963.49 / $1,919.72	Professional		$98.48	$963.49	$1,919.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,191.19 / $1,591.92 / $1,641.50	Facility		$1,191.19	$1,591.92	$1,641.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,107.13 / $1,107.13 / $1,119.65	Facility		$1,107.13	$1,107.13	$1,119.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.11 / $1,864.21 / $2,250.08	Professional		$1,173.11	$1,864.21	$2,250.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,307.54 / $1,610.63 / $2,104.55	Professional		$1,307.54	$1,610.63	$2,104.55
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,254.00 / $4,332.00	Facility		$650.00	$1,254.00	$4,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.10 / $1,481.80 / $2,366.09	Professional		$932.10	$1,481.80	$2,366.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $696.24 / $878.34 / $878.34	Professional		$696.24	$878.34	$878.34