Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.80 / $2,626.31 / $22,024.00	Facility		$1,223.80	$2,626.31	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.08 / $1,223.80 / $2,645.31	Professional		$888.08	$1,223.80	$2,645.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,382.88 / $10,354.95	Facility		$55.00	$1,382.88	$10,354.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.50 / $2,278.90 / $9,131.18	Professional		$1,435.50	$2,278.90	$9,131.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $978.16 / $1,762.86 / $2,999.90	Professional		$978.16	$1,762.86	$2,999.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $895.04 / $1,812.46 / $2,386.40	Facility		$895.04	$1,812.46	$2,386.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.70 / $1,812.46 / $2,472.44	Professional		$924.70	$1,812.46	$2,472.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $465.30 / $2,123.01	Professional		$100.79	$465.30	$2,123.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,347.01 / $1,827.76 / $2,027.42	Facility		$1,347.01	$1,827.76	$2,027.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.73 / $1,332.73 / $1,382.88	Facility		$1,332.73	$1,332.73	$1,382.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,538.53 / $2,199.90 / $2,744.88	Professional		$1,538.53	$2,199.90	$2,744.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,359.20 / $1,968.35 / $2,620.52	Professional		$1,359.20	$1,968.35	$2,620.52
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.36 / $1,505.26 / $2,787.83	Professional		$1,146.36	$1,505.26	$2,787.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $840.63 / $840.63 / $1,067.72	Professional		$840.63	$840.63	$1,067.72