Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.65 / $2,834.12 / $20,680.40	Facility		$1,498.65	$2,834.12	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.83 / $1,498.65 / $3,008.94	Professional		$986.83	$1,498.65	$3,008.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,528.67 / $11,563.56	Facility		$55.00	$1,528.67	$11,563.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,579.05 / $2,643.28 / $9,850.43	Professional		$1,579.05	$2,643.28	$9,850.43
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 $1,094.05 / $1,968.55 / $3,314.06	Professional		$1,094.05	$1,968.55	$3,314.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,038.81 / $2,132.26 / $2,785.02	Facility		$1,038.81	$2,132.26	$2,785.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.81 / $2,127.11 / $2,785.02	Professional		$1,038.81	$2,127.11	$2,785.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,305.66 / $2,610.20	Professional		$148.17	$1,305.66	$2,610.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,568.49 / $2,130.71 / $2,241.15	Facility		$1,568.49	$2,130.71	$2,241.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,491.28 / $1,491.28 / $1,528.67	Facility		$1,491.28	$1,491.28	$1,528.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,580.16 / $2,535.32 / $3,060.11	Professional		$1,580.16	$2,535.32	$3,060.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,761.22 / $2,199.00 / $2,873.36	Professional		$1,761.22	$2,199.00	$2,873.36
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 $1,220.57 / $1,875.73 / $3,217.04	Professional		$1,220.57	$1,875.73	$3,217.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $928.14 / $1,165.78 / $1,165.78	Professional		$928.14	$1,165.78	$1,165.78