Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.72 / $5,128.00 / $22,024.00	Facility		$382.72	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $382.72 / $1,000.00	Professional		$335.85	$382.72	$1,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $6,287.26 / $6,713.85	Facility		$90.00	$6,287.26	$6,713.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $504.50 / $831.72 / $3,385.20	Professional		$504.50	$831.72	$3,385.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,000.00	Facility		$714.97	$870.49	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $370.07 / $443.39	Professional		$370.07	$370.07	$443.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,106.03 / $8,106.03 / $8,106.03	Facility		$8,106.03	$8,106.03	$8,106.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,186.67 / $1,186.67 / $1,186.67	Professional		$1,186.67	$1,186.67	$1,186.67
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 $466.32 / $636.61 / $777.20	Facility		$466.32	$636.61	$777.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.68 / $494.68 / $530.12	Facility		$494.68	$494.68	$530.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.58 / $821.40 / $1,052.24	Professional		$561.58	$821.40	$1,052.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,329.10 / $5,329.10 / $6,713.85	Facility		$5,329.10	$5,329.10	$6,713.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $504.50 / $716.83 / $961.94	Professional		$504.50	$716.83	$961.94
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 $458.64 / $638.28 / $1,096.92	Professional		$458.64	$638.28	$1,096.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $446.56 / $446.56	Professional		$446.56	$446.56	$446.56