Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.18 / $10,122.46 / $27,982.24	Facility		$1,054.18	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $812.35 / $1,147.55	Professional		$491.63	$812.35	$1,147.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,101.36 / $7,464.08	Facility		$55.00	$1,101.36	$7,464.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.36 / $1,863.89 / $7,033.13	Professional		$1,101.36	$1,863.89	$7,033.13
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 $765.97 / $1,616.61 / $2,439.25	Professional		$765.97	$1,616.61	$2,439.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $715.79 / $1,416.24 / $2,070.48	Facility		$715.79	$1,416.24	$2,070.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.79 / $1,416.24 / $2,086.29	Professional		$715.79	$1,416.24	$2,086.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,060.40 / $1,549.29 / $1,614.70	Facility		$1,060.40	$1,549.29	$1,614.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.42 / $1,022.42 / $1,101.36	Facility		$1,022.42	$1,022.42	$1,101.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.66 / $1,823.12 / $2,200.48	Professional		$1,133.66	$1,823.12	$2,200.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,207.50 / $1,584.33 / $2,056.42	Professional		$1,207.50	$1,584.33	$2,056.42
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 $750.66 / $1,281.61 / $1,946.35	Professional		$750.66	$1,281.61	$1,946.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $910.02 / $910.02 / $910.02	Professional		$910.02	$910.02	$910.02