Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.28 / $2,702.82 / $20,680.40	Facility		$1,401.28	$2,702.82	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.43 / $1,340.49 / $2,702.82	Professional		$957.43	$1,340.49	$2,702.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,423.56 / $8,500.24	Facility		$55.00	$1,423.56	$8,500.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.54 / $2,456.85 / $8,946.29	Professional		$1,495.54	$2,456.85	$8,946.29
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 $1,015.40 / $1,863.41 / $3,144.37	Professional		$1,015.40	$1,863.41	$3,144.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.68 / $2,021.13 / $2,645.36	Facility		$1,000.68	$2,021.13	$2,645.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.80 / $1,961.01 / $2,648.80	Professional		$972.80	$1,961.01	$2,648.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $383.36 / $2,311.14	Professional		$80.44	$383.36	$2,311.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,496.46 / $1,998.41 / $2,087.05	Facility		$1,496.46	$1,998.41	$2,087.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,379.39 / $1,379.39 / $1,423.56	Facility		$1,379.39	$1,379.39	$1,423.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.49 / $2,356.51 / $2,825.62	Professional		$1,487.49	$2,356.51	$2,825.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,629.08 / $2,047.80 / $2,658.00	Professional		$1,629.08	$2,047.80	$2,658.00
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 $1,112.95 / $1,791.57 / $3,115.59	Professional		$1,112.95	$1,791.57	$3,115.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $864.10 / $1,113.09 / $1,113.09	Professional		$864.10	$1,113.09	$1,113.09