Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.51 / $2,537.36 / $22,024.00	Facility		$1,344.51	$2,537.36	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.53 / $1,344.51 / $2,942.15	Professional		$917.53	$1,344.51	$2,942.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,524.55 / $20,253.43	Facility		$55.00	$1,524.55	$20,253.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,569.25 / $2,513.25 / $10,088.85	Professional		$1,569.25	$2,513.25	$10,088.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.70 / $1,910.47 / $3,296.43	Professional		$1,091.70	$1,910.47	$3,296.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $843.98 / $1,625.47 / $2,593.38	Facility		$843.98	$1,625.47	$2,593.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.51 / $1,688.16 / $2,657.54	Professional		$865.51	$1,688.16	$2,657.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $505.22 / $2,291.71	Professional		$132.63	$505.22	$2,291.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,266.48 / $1,850.22 / $2,235.12	Facility		$1,266.48	$1,850.22	$2,235.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,470.44 / $1,470.44 / $1,524.55	Facility		$1,470.44	$1,470.44	$1,524.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.75 / $2,425.27 / $3,026.09	Professional		$1,696.75	$2,425.27	$3,026.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,499.65 / $2,170.00 / $2,888.98	Professional		$1,499.65	$2,170.00	$2,888.98
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 $1,102.50 / $1,722.60 / $3,109.78	Professional		$1,102.50	$1,722.60	$3,109.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $925.93 / $925.93 / $1,167.54	Professional		$925.93	$925.93	$1,167.54