Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.61 / $2,798.52 / $20,680.40	Facility		$1,504.61	$2,798.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.20 / $1,429.12 / $2,866.73	Professional		$971.20	$1,429.12	$2,866.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,507.19 / $10,146.64	Facility		$55.00	$1,507.19	$10,146.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.04 / $2,605.98 / $9,706.50	Professional		$1,532.04	$2,605.98	$9,706.50
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 $1,058.44 / $1,946.21 / $3,289.21	Professional		$1,058.44	$1,946.21	$3,289.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,038.81 / $2,072.71 / $2,763.72	Facility		$1,038.81	$2,072.71	$2,763.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.81 / $2,064.30 / $2,774.45	Professional		$1,038.81	$2,064.30	$2,774.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,259.47 / $2,532.20	Professional		$148.17	$1,259.47	$2,532.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,541.12 / $2,105.19 / $2,209.66	Facility		$1,541.12	$2,105.19	$2,209.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,489.01 / $1,489.01 / $1,507.19	Facility		$1,489.01	$1,489.01	$1,507.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.76 / $2,499.56 / $3,016.94	Professional		$1,577.76	$2,499.56	$3,016.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,758.55 / $2,168.11 / $2,832.98	Professional		$1,758.55	$2,168.11	$2,832.98
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 $1,212.99 / $1,888.59 / $3,171.66	Professional		$1,212.99	$1,888.59	$3,171.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $915.17 / $1,157.66 / $1,157.66	Professional		$915.17	$1,157.66	$1,157.66