Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.14 / $5,128.00 / $22,024.00	Facility		$992.14	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.53 / $992.14 / $13,531.45	Professional		$593.53	$992.14	$13,531.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $1,241.38 / $3,389.44	Facility		$90.00	$1,241.38	$3,389.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.32 / $1,931.30 / $7,711.13	Professional		$1,173.32	$1,931.30	$7,711.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,503.27 / $2,503.27 / $2,503.27	Professional		$2,503.27	$2,503.27	$2,503.27
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 $835.99 / $1,143.97 / $1,639.49	Facility		$835.99	$1,143.97	$1,639.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.39 / $1,207.39 / $1,507.58	Facility		$1,207.39	$1,207.39	$1,507.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.31 / $1,870.80 / $2,476.35	Professional		$1,206.31	$1,870.80	$2,476.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,272.63 / $1,505.94 / $2,098.34	Professional		$1,272.63	$1,505.94	$2,098.34
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.79 / $1,083.20 / $2,408.71	Professional		$548.79	$1,083.20	$2,408.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $791.18 / $791.18 / $791.18	Professional		$791.18	$791.18	$791.18