Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.82 / $2,522.34 / $20,680.40	Facility		$1,324.82	$2,522.34	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.25 / $1,271.10 / $2,522.34	Professional		$879.25	$1,271.10	$2,522.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,339.47 / $9,048.00	Facility		$55.00	$1,339.47	$9,048.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.46 / $2,329.92 / $8,555.93	Professional		$1,371.46	$2,329.92	$8,555.93
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 $981.39 / $1,745.62 / $2,926.67	Professional		$981.39	$1,745.62	$2,926.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $925.97 / $1,904.40 / $2,475.60	Facility		$925.97	$1,904.40	$2,475.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.97 / $1,895.10 / $2,481.23	Professional		$925.97	$1,895.10	$2,481.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $370.95 / $2,215.42	Professional		$80.21	$370.95	$2,215.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.48 / $1,883.95 / $1,963.77	Facility		$1,397.48	$1,883.95	$1,963.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,319.14 / $1,319.14 / $1,339.47	Facility		$1,319.14	$1,319.14	$1,339.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.76 / $2,234.76 / $2,692.87	Professional		$1,397.76	$2,234.76	$2,692.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,557.92 / $1,926.84 / $2,517.73	Professional		$1,557.92	$1,926.84	$2,517.73
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 $1,081.09 / $1,707.00 / $2,835.68	Professional		$1,081.09	$1,707.00	$2,835.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $813.84 / $1,027.94 / $1,027.94	Professional		$813.84	$1,027.94	$1,027.94