Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.81 / $2,599.07 / $20,680.40	Facility		$1,376.81	$2,599.07	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.69 / $1,321.04 / $2,615.94	Professional		$903.69	$1,321.04	$2,615.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,396.59 / $9,388.95	Facility		$55.00	$1,396.59	$9,388.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.72 / $2,446.40 / $9,001.28	Professional		$1,458.72	$2,446.40	$9,001.28
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 $987.20 / $1,797.96 / $3,038.64	Professional		$987.20	$1,797.96	$3,038.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $959.14 / $1,949.18 / $2,549.34	Facility		$959.14	$1,949.18	$2,549.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.14 / $1,949.18 / $2,571.94	Professional		$959.14	$1,949.18	$2,571.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $1,183.25 / $2,389.12	Professional		$148.16	$1,183.25	$2,389.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.99 / $1,948.19 / $2,047.52	Facility		$1,445.99	$1,948.19	$2,047.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.67 / $1,376.67 / $1,396.59	Facility		$1,376.67	$1,376.67	$1,396.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,458.72 / $2,312.38 / $2,791.02	Professional		$1,458.72	$2,312.38	$2,791.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,625.87 / $2,009.01 / $2,625.10	Professional		$1,625.87	$2,009.01	$2,625.10
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 $1,102.42 / $1,752.30 / $2,940.29	Professional		$1,102.42	$1,752.30	$2,940.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $848.90 / $1,065.67 / $1,065.67	Professional		$848.90	$1,065.67	$1,065.67