Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.80 / $2,368.13 / $20,680.40	Facility		$1,292.80	$2,368.13	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.29 / $1,235.07 / $2,456.32	Professional		$873.29	$1,235.07	$2,456.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,568.87 / $8,801.84	Facility		$55.00	$2,568.87	$8,801.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.50 / $2,256.15 / $8,425.35	Professional		$1,333.50	$2,256.15	$8,425.35
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 $942.26 / $1,687.60 / $2,852.13	Professional		$942.26	$1,687.60	$2,852.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $826.39 / $1,670.40 / $2,615.78	Facility		$826.39	$1,670.40	$2,615.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.40 / $1,584.00 / $2,383.19	Professional		$806.40	$1,584.00	$2,383.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $362.00 / $2,131.81	Professional		$80.21	$362.00	$2,131.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,298.46 / $1,795.60 / $1,917.54	Facility		$1,298.46	$1,795.60	$1,917.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,286.97 / $1,286.97 / $1,307.93	Facility		$1,286.97	$1,286.97	$1,307.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,363.68 / $2,164.00 / $2,611.92	Professional		$1,363.68	$2,164.00	$2,611.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,814.55 / $2,568.87 / $4,913.96	Facility		$1,814.55	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,519.94 / $1,881.48 / $2,458.46	Professional		$1,519.94	$1,881.48	$2,458.46
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.85 / $1,596.99 / $2,745.88	Professional		$1,024.85	$1,596.99	$2,745.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $795.35 / $1,004.54 / $1,004.54	Professional		$795.35	$1,004.54	$1,004.54