Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.22 / $6,470.00 / $27,982.24	Facility		$1,559.22	$6,470.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,195.50 / $1,697.36	Professional		$855.90	$1,195.50	$1,697.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,616.41 / $10,954.40	Facility		$55.00	$1,616.41	$10,954.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,700.29 / $2,737.64 / $10,322.62	Professional		$1,700.29	$2,737.64	$10,322.62
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 $919.81 / $2,337.53 / $3,562.42	Professional		$919.81	$2,337.53	$3,562.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,053.69 / $2,083.91 / $3,047.88	Facility		$1,053.69	$2,083.91	$3,047.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.69 / $2,083.91 / $3,066.42	Professional		$1,053.69	$2,083.91	$3,066.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.41 / $2,162.01 / $2,369.79	Facility		$1,513.41	$2,162.01	$2,369.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,508.94 / $1,508.94 / $1,616.41	Facility		$1,508.94	$1,508.94	$1,616.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,663.80 / $2,650.62 / $3,208.41	Professional		$1,663.80	$2,650.62	$3,208.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,782.09 / $2,325.21 / $3,018.08	Professional		$1,782.09	$2,325.21	$3,018.08
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 $1,230.82 / $1,890.66 / $3,344.96	Professional		$1,230.82	$1,890.66	$3,344.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,254.61 / $1,254.61 / $1,254.61	Professional		$1,254.61	$1,254.61	$1,254.61