Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.40 / $10,122.46 / $27,982.24	Facility		$213.40	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.39 / $213.40 / $234.16	Professional		$169.39	$213.40	$234.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $519.48 / $800.48 / $7,301.75	Facility		$519.48	$800.48	$7,301.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.56 / $435.38 / $1,599.00	Professional		$254.56	$435.38	$1,599.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $2,000.00 / $2,285.42	Facility		$305.39	$2,000.00	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.18 / $416.18 / $498.63	Professional		$416.18	$416.18	$498.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $267.82 / $12,286.80	Facility		$171.40	$267.82	$12,286.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $230.61 / $367.42	Professional		$168.06	$230.61	$367.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $14.08 / $2,600.73	Facility		$8.44	$14.08	$2,600.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $250.44 / $2,961.46	Facility		$249.60	$250.44	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $417.74 / $550.85	Professional		$282.58	$417.74	$550.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $525.08 / $733.95 / $7,301.75	Facility		$525.08	$733.95	$7,301.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.56 / $356.47 / $503.52	Professional		$254.56	$356.47	$503.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $461.76 / $811.31	Professional		$331.80	$461.76	$811.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $360.77	Professional		$15.84	$15.84	$360.77