Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.03 / $1,970.51 / $20,680.40	Facility		$1,068.03	$1,970.51	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.06 / $1,015.84 / $2,029.26	Professional		$690.06	$1,015.84	$2,029.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.98 / $6,352.50	Facility		$55.00	$1,078.98	$6,352.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.85 / $1,865.05 / $6,951.00	Professional		$1,084.85	$1,865.05	$6,951.00
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 $757.72 / $1,391.72 / $2,352.09	Professional		$757.72	$1,391.72	$2,352.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $730.98 / $1,467.88 / $1,957.35	Facility		$730.98	$1,467.88	$1,957.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.98 / $1,467.88 / $1,957.35	Professional		$730.98	$1,467.88	$1,957.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $886.21 / $1,818.42	Professional		$98.49	$886.21	$1,818.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.70 / $1,488.07 / $1,581.87	Facility		$1,092.70	$1,488.07	$1,581.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.09 / $1,064.09 / $1,078.98	Facility		$1,064.09	$1,064.09	$1,078.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,127.52 / $1,788.88 / $2,159.16	Professional		$1,127.52	$1,788.88	$2,159.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,256.72 / $1,552.12 / $2,028.10	Professional		$1,256.72	$1,552.12	$2,028.10
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 $840.93 / $1,346.98 / $2,269.90	Professional		$840.93	$1,346.98	$2,269.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.39 / $826.89 / $826.89	Professional		$655.39	$826.89	$826.89