Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.23 / $2,667.93 / $20,680.40	Facility		$1,452.23	$2,667.93	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.36 / $1,381.98 / $2,759.24	Professional		$942.36	$1,381.98	$2,759.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,456.92 / $9,808.48	Facility		$55.00	$1,456.92	$9,808.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.36 / $2,517.14 / $9,384.08	Professional		$1,498.36	$2,517.14	$9,384.08
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 $1,051.48 / $1,881.71 / $3,180.20	Professional		$1,051.48	$1,881.71	$3,180.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $995.10 / $2,018.73 / $2,658.22	Facility		$995.10	$2,018.73	$2,658.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.10 / $2,018.73 / $2,658.22	Professional		$995.10	$2,018.73	$2,658.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $393.56 / $2,351.24	Professional		$80.44	$393.56	$2,351.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.74 / $2,016.03 / $2,135.96	Facility		$1,479.74	$2,016.03	$2,135.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.09 / $1,440.09 / $1,456.92	Facility		$1,440.09	$1,440.09	$1,456.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.99 / $2,414.34 / $2,914.08	Professional		$1,523.99	$2,414.34	$2,914.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,700.77 / $2,095.80 / $2,738.49	Professional		$1,700.77	$2,095.80	$2,738.49
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 $1,111.92 / $1,775.31 / $3,063.53	Professional		$1,111.92	$1,775.31	$3,063.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $883.69 / $1,118.88 / $1,118.88	Professional		$883.69	$1,118.88	$1,118.88