Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.64 / $1,304.89 / $17,100.00	Facility		$707.64	$1,304.89	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.75 / $494.86 / $1,268.66	Professional		$293.75	$494.86	$1,268.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $707.64 / $1,173.53 / $2,685.90	Facility		$707.64	$1,173.53	$2,685.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $541.90 / $1,130.35 / $4,273.12	Professional		$541.90	$1,130.35	$4,273.12
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 $489.28 / $795.98 / $1,538.62	Professional		$489.28	$795.98	$1,538.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $367.66 / $758.50 / $1,314.07	Facility		$367.66	$758.50	$1,314.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.34 / $800.40 / $1,391.65	Professional		$445.34	$800.40	$1,391.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $596.66 / $1,309.46	Professional		$92.76	$596.66	$1,309.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.80 / $954.71 / $1,167.14	Facility		$442.80	$954.71	$1,167.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $786.86 / $796.09	Facility		$150.57	$786.86	$796.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.36 / $909.92 / $1,459.27	Professional		$543.36	$909.92	$1,459.27
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 $522.98 / $802.49 / $1,348.31	Professional		$522.98	$802.49	$1,348.31
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 $652.85 / $849.68 / $1,658.70	Professional		$652.85	$849.68	$1,658.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $417.37 / $417.37 / $643.88	Professional		$417.37	$417.37	$643.88