Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.15 / $3,018.62 / $20,680.40	Facility		$1,596.15	$3,018.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.33 / $1,406.58 / $3,018.62	Professional		$996.33	$1,406.58	$3,018.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,636.52 / $11,004.00	Facility		$55.00	$1,636.52	$11,004.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,709.28 / $2,856.72 / $10,547.63	Professional		$1,709.28	$2,856.72	$10,547.63
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 $1,164.22 / $2,108.12 / $3,562.48	Professional		$1,164.22	$2,108.12	$3,562.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,110.42 / $2,265.78 / $2,976.97	Facility		$1,110.42	$2,265.78	$2,976.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.42 / $2,265.78 / $2,976.97	Professional		$1,110.42	$2,265.78	$2,976.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $445.10 / $2,656.95	Professional		$109.09	$445.10	$2,656.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,669.43 / $2,283.66 / $2,399.27	Facility		$1,669.43	$2,283.66	$2,399.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,613.13 / $1,613.13 / $1,636.52	Facility		$1,613.13	$1,613.13	$1,636.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,709.28 / $2,710.33 / $3,271.34	Professional		$1,709.28	$2,710.33	$3,271.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.14 / $2,354.15 / $3,076.08	Professional		$1,905.14	$2,354.15	$3,076.08
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 $1,301.66 / $2,010.48 / $3,439.11	Professional		$1,301.66	$2,010.48	$3,439.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $994.67 / $1,250.50 / $1,250.50	Professional		$994.67	$1,250.50	$1,250.50