Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.04 / $5,128.00 / $22,024.00	Facility		$294.04	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $296.33 / $379.91	Professional		$257.73	$296.33	$379.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $403.99 / $1,198.92 / $1,198.92	Facility		$403.99	$1,198.92	$1,198.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $387.16 / $663.36 / $2,579.55	Professional		$387.16	$663.36	$2,579.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $390.05 / $439.04	Professional		$325.55	$390.05	$439.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.33 / $854.33 / $854.33	Professional		$854.33	$854.33	$854.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $47.55 / $559.45	Facility		$40.42	$47.55	$559.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.61 / $379.61 / $403.99	Facility		$379.61	$379.61	$403.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $637.63 / $801.88	Professional		$408.94	$637.63	$801.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $387.16 / $523.12 / $695.54	Professional		$387.16	$523.12	$695.54
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.93 / $486.62 / $818.22	Professional		$317.93	$486.62	$818.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $237.66	Professional		$50.59	$50.59	$237.66