Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.44 / $4,500.00 / $20,680.40	Facility		$1,525.44	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.71 / $1,447.44 / $2,898.34	Professional		$981.71	$1,447.44	$2,898.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,508.04 / $7,704.66	Facility		$55.00	$1,508.04	$7,704.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.20 / $2,632.86 / $9,822.98	Professional		$1,570.20	$2,632.86	$9,822.98
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 $1,105.22 / $1,974.30 / $3,331.47	Professional		$1,105.22	$1,974.30	$3,331.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,046.86 / $2,087.19 / $2,793.82	Facility		$1,046.86	$2,087.19	$2,793.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,046.86 / $2,069.90 / $2,794.46	Professional		$1,046.86	$2,069.90	$2,794.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.92 / $1,301.88 / $2,574.14	Professional		$147.92	$1,301.88	$2,574.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.53 / $2,034.50 / $2,236.46	Facility		$1,513.53	$2,034.50	$2,236.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,508.04 / $1,508.04 / $1,525.47	Facility		$1,508.04	$1,508.04	$1,525.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,597.48 / $2,530.75 / $3,054.60	Professional		$1,597.48	$2,530.75	$3,054.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,781.02 / $2,194.41 / $2,867.34	Professional		$1,781.02	$2,194.41	$2,867.34
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 $1,200.50 / $1,939.81 / $3,211.26	Professional		$1,200.50	$1,939.81	$3,211.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $928.41 / $1,177.11 / $1,177.11	Professional		$928.41	$1,177.11	$1,177.11