Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.16 / $5,116.62 / $20,680.40	Facility		$630.16	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.14 / $630.16 / $855.39	Professional		$382.14	$630.16	$855.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $692.80 / $846.33 / $1,662.72	Facility		$692.80	$846.33	$1,662.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $769.23 / $1,383.62 / $4,859.18	Professional		$769.23	$1,383.62	$4,859.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,703.32 / $1,703.32 / $1,703.32	Professional		$1,703.32	$1,703.32	$1,703.32
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 $730.56 / $1,068.50 / $1,115.55	Facility		$730.56	$1,068.50	$1,115.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.91 / $760.91 / $814.95	Facility		$760.91	$760.91	$814.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $1,266.90 / $1,560.60	Professional		$782.55	$1,266.90	$1,560.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $692.80 / $831.36 / $1,579.58	Facility		$692.80	$831.36	$1,579.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $760.24 / $1,023.14 / $1,474.36	Professional		$760.24	$1,023.14	$1,474.36
United Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,120.00 / $5,793.00	Facility		$501.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.16 / $934.96 / $1,712.21	Professional		$755.16	$934.96	$1,712.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $60.85 / $60.85	Professional		$60.85	$60.85	$60.85