Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.08 / $2,744.12 / $20,680.40	Facility		$1,433.08	$2,744.12	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.52 / $1,433.08 / $2,930.93	Professional		$974.52	$1,433.08	$2,930.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,452.35 / $8,552.53	Facility		$55.00	$1,452.35	$8,552.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.01 / $2,506.03 / $9,339.08	Professional		$1,549.01	$2,506.03	$9,339.08
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 $1,064.39 / $1,871.78 / $3,162.04	Professional		$1,064.39	$1,871.78	$3,162.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,003.47 / $2,132.25 / $2,671.03	Facility		$1,003.47	$2,132.25	$2,671.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.47 / $2,074.38 / $2,691.68	Professional		$1,003.47	$2,074.38	$2,691.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,217.36 / $2,474.30	Professional		$148.17	$1,217.36	$2,474.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,525.37 / $2,026.53 / $2,129.26	Facility		$1,525.37	$2,026.53	$2,129.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.50 / $1,426.50 / $1,452.35	Facility		$1,426.50	$1,426.50	$1,452.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,517.27 / $2,403.67 / $2,901.23	Professional		$1,517.27	$2,403.67	$2,901.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,684.72 / $2,089.21 / $2,729.90	Professional		$1,684.72	$2,089.21	$2,729.90
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 $1,122.76 / $1,790.48 / $3,050.03	Professional		$1,122.76	$1,790.48	$3,050.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $881.76 / $1,106.71 / $1,106.71	Professional		$881.76	$1,106.71	$1,106.71