Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.75 / $2,146.66 / $20,680.40	Facility		$1,141.75	$2,146.66	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $1,003.28 / $2,146.66	Professional		$736.90	$1,003.28	$2,146.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,171.75 / $7,882.40	Facility		$55.00	$1,171.75	$7,882.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.08 / $2,021.33 / $7,550.63	Professional		$1,205.08	$2,021.33	$7,550.63
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 $840.04 / $1,510.77 / $2,553.29	Professional		$840.04	$1,510.77	$2,553.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $797.32 / $1,623.78 / $2,135.21	Facility		$797.32	$1,623.78	$2,135.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.32 / $1,623.78 / $2,135.21	Professional		$797.32	$1,623.78	$2,135.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $978.18 / $1,995.91	Professional		$98.48	$978.18	$1,995.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,191.19 / $1,622.74 / $1,717.88	Facility		$1,191.19	$1,622.74	$1,717.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.79 / $1,153.79 / $1,171.75	Facility		$1,153.79	$1,153.79	$1,171.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.76 / $1,938.77 / $2,325.80	Professional		$1,214.76	$1,938.77	$2,325.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,362.65 / $1,685.58 / $2,188.16	Professional		$1,362.65	$1,685.58	$2,188.16
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 $935.16 / $1,458.01 / $2,460.11	Professional		$935.16	$1,458.01	$2,460.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $711.98 / $897.70 / $897.70	Professional		$711.98	$897.70	$897.70