Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $850.70 / $17,100.00	Facility		$408.44	$850.70	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $307.11 / $645.87	Professional		$191.84	$307.11	$645.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $5,053.26 / $9,885.68	Facility		$759.83	$5,053.26	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $318.24 / $655.72 / $2,508.56	Professional		$318.24	$655.72	$2,508.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.82 / $465.61 / $897.14	Professional		$277.82	$465.61	$897.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $309.00 / $503.56 / $1,469.09	Facility		$309.00	$503.56	$1,469.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $514.46 / $1,192.95	Professional		$314.64	$514.46	$1,192.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $491.21 / $860.63	Professional		$88.12	$491.21	$860.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.93 / $616.40 / $685.41	Facility		$369.93	$616.40	$685.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.05 / $470.67 / $1,040.51	Facility		$467.05	$470.67	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.41 / $544.29 / $860.75	Professional		$317.41	$544.29	$860.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $480.02 / $791.03	Professional		$306.31	$480.02	$791.03
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 $411.72 / $509.08 / $998.32	Professional		$411.72	$509.08	$998.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $231.89 / $371.19	Professional		$231.89	$231.89	$371.19