Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.98 / $2,450.19 / $22,024.00	Facility		$1,140.98	$2,450.19	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.35 / $1,140.98 / $2,519.42	Professional		$840.35	$1,140.98	$2,519.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,266.34 / $8,516.71	Facility		$55.00	$1,266.34	$8,516.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.48 / $2,026.35 / $9,880.20	Professional		$1,303.48	$2,026.35	$9,880.20
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 $922.50 / $1,631.51 / $2,757.67	Professional		$922.50	$1,631.51	$2,757.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $865.52 / $1,731.98 / $2,217.15	Facility		$865.52	$1,731.98	$2,217.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.52 / $1,761.97 / $2,310.38	Professional		$865.52	$1,761.97	$2,310.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $928.53 / $2,011.52	Professional		$139.56	$928.53	$2,011.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,256.84 / $1,741.65 / $1,856.57	Facility		$1,256.84	$1,741.65	$1,856.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.47 / $1,248.47 / $1,266.34	Facility		$1,248.47	$1,248.47	$1,266.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.03 / $2,039.44 / $2,513.57	Professional		$1,416.03	$2,039.44	$2,513.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,273.27 / $1,802.48 / $2,405.73	Professional		$1,273.27	$1,802.48	$2,405.73
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 $1,106.88 / $1,475.09 / $2,660.92	Professional		$1,106.88	$1,475.09	$2,660.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $769.12 / $769.12 / $967.80	Professional		$769.12	$769.12	$967.80