Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.23 / $1,897.60 / $20,680.40	Facility		$1,046.23	$1,897.60	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.21 / $998.36 / $1,987.84	Professional		$674.21	$998.36	$1,987.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,059.33 / $6,237.56	Facility		$55.00	$1,059.33	$6,237.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.23 / $1,822.26 / $6,824.93	Professional		$1,090.23	$1,822.26	$6,824.93
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 $747.45 / $1,364.76 / $2,310.16	Professional		$747.45	$1,364.76	$2,310.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $705.56 / $1,466.28 / $1,889.55	Facility		$705.56	$1,466.28	$1,889.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.56 / $1,443.18 / $1,889.55	Professional		$705.56	$1,443.18	$1,889.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $882.52 / $1,788.94	Professional		$98.49	$882.52	$1,788.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,064.77 / $1,433.80 / $1,553.06	Facility		$1,064.77	$1,433.80	$1,553.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,059.33	Facility		$1,040.08	$1,040.08	$1,059.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,102.08 / $1,751.59 / $2,114.16	Professional		$1,102.08	$1,751.59	$2,114.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,228.35 / $1,523.86 / $1,991.16	Professional		$1,228.35	$1,523.86	$1,991.16
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 $848.07 / $1,342.81 / $2,222.57	Professional		$848.07	$1,342.81	$2,222.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $643.79 / $813.39 / $813.39	Professional		$643.79	$813.39	$813.39