Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.52 / $1,034.27 / $17,100.00	Facility		$516.52	$1,034.27	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $360.43 / $767.16	Professional		$243.77	$360.43	$767.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.69 / $4,492.60 / $10,161.06	Facility		$737.69	$4,492.60	$10,161.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $395.61 / $771.10 / $2,890.72	Professional		$395.61	$771.10	$2,890.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $1,677.65	Facility		$564.00	$906.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $571.94 / $1,031.95	Professional		$352.45	$571.94	$1,031.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $379.44 / $620.74 / $1,189.34	Facility		$379.44	$620.74	$1,189.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.50 / $641.38 / $1,130.32	Professional		$394.50	$641.38	$1,130.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $402.57 / $895.46	Professional		$45.60	$402.57	$895.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.55 / $751.07 / $1,078.74	Facility		$520.55	$751.07	$1,078.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.88 / $534.69 / $737.69	Facility		$504.88	$534.69	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.48 / $663.20 / $980.11	Professional		$396.48	$663.20	$980.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $381.61 / $553.44 / $907.61	Professional		$381.61	$553.44	$907.61
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.56 / $598.24 / $1,106.81	Professional		$469.56	$598.24	$1,106.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $301.92 / $428.99	Professional		$301.92	$301.92	$428.99