Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.14 / $2,584.64 / $20,680.40	Facility		$1,416.14	$2,584.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.28 / $1,314.81 / $2,689.60	Professional		$900.28	$1,314.81	$2,689.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,381.05 / $9,328.24	Facility		$55.00	$1,381.05	$9,328.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.61 / $2,422.52 / $8,880.75	Professional		$1,403.61	$2,422.52	$8,880.75
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 $970.77 / $1,799.28 / $3,036.59	Professional		$970.77	$1,799.28	$3,036.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $959.45 / $1,893.95 / $2,536.71	Facility		$959.45	$1,893.95	$2,536.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.45 / $1,839.82 / $2,561.11	Professional		$959.45	$1,839.82	$2,561.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $1,170.47 / $2,346.80	Professional		$98.67	$1,170.47	$2,346.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,418.55 / $1,930.27 / $2,024.74	Facility		$1,418.55	$1,930.27	$2,024.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,369.42 / $1,369.42 / $1,381.05	Facility		$1,369.42	$1,369.42	$1,381.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,446.18 / $2,291.07 / $2,765.30	Professional		$1,446.18	$2,291.07	$2,765.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,617.30 / $1,986.66 / $2,595.90	Professional		$1,617.30	$1,986.66	$2,595.90
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 $1,055.26 / $1,699.78 / $2,907.11	Professional		$1,055.26	$1,699.78	$2,907.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $835.93 / $1,078.19 / $1,078.19	Professional		$835.93	$1,078.19	$1,078.19