Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.74 / $953.78 / $17,100.00	Facility		$392.74	$953.78	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $324.29 / $654.59	Professional		$186.90	$324.29	$654.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $526.01 / $1,779.82 / $3,936.16	Facility		$526.01	$1,779.82	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $303.49 / $729.30 / $2,839.92	Professional		$303.49	$729.30	$2,839.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $906.00	Facility		$511.44	$777.59	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.30 / $491.95 / $1,021.58	Professional		$273.30	$491.95	$1,021.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $500.50 / $878.52	Facility		$305.27	$500.50	$878.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.68 / $523.45 / $927.42	Professional		$314.68	$523.45	$927.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $387.30 / $846.61	Professional		$45.48	$387.30	$846.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $351.69 / $652.60 / $771.17	Facility		$351.69	$652.60	$771.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $515.97 / $526.01	Facility		$236.51	$515.97	$526.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $540.97 / $956.02	Professional		$301.74	$540.97	$956.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.29 / $526.22 / $890.87	Professional		$288.29	$526.22	$890.87
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.99 / $495.23 / $1,089.66	Professional		$289.99	$495.23	$1,089.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.15 / $232.15 / $427.89	Professional		$232.15	$232.15	$427.89