Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.75 / $1,232.95 / $14,464.32	Facility		$552.75	$1,232.95	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $456.12 / $1,105.55	Professional		$241.81	$456.12	$1,105.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $684.48 / $1,173.53 / $2,499.04	Facility		$684.48	$1,173.53	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $963.65 / $3,714.08	Professional		$425.35	$963.65	$3,714.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $564.00 / $906.00	Facility		$334.00	$564.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $650.82 / $1,337.50	Professional		$383.50	$650.82	$1,337.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $360.01 / $632.91 / $1,112.83	Facility		$360.01	$632.91	$1,112.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $650.50 / $1,201.53	Professional		$370.50	$650.50	$1,201.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $545.71 / $1,197.54	Professional		$45.48	$545.71	$1,197.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.15 / $824.56 / $1,013.71	Facility		$365.15	$824.56	$1,013.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $684.48 / $691.44	Facility		$150.57	$684.48	$691.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $733.70 / $1,267.44	Professional		$425.35	$733.70	$1,267.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $405.17 / $698.08 / $1,171.06	Professional		$405.17	$698.08	$1,171.06
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 $554.91 / $723.84 / $1,452.56	Professional		$554.91	$723.84	$1,452.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $323.22 / $556.84	Professional		$323.22	$323.22	$556.84