Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.16 / $1,010.13 / $18,711.00	Facility		$611.16	$1,010.13	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.43 / $499.72 / $1,161.20	Professional		$305.43	$499.72	$1,161.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $1,130.00 / $2,206.01	Facility		$224.92	$1,130.00	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $493.44 / $939.74 / $3,373.52	Professional		$493.44	$939.74	$3,373.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $507.81 / $731.00	Facility		$334.00	$507.81	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.99 / $715.04 / $1,217.55	Professional		$447.99	$715.04	$1,217.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $362.39 / $709.04 / $1,107.18	Facility		$362.39	$709.04	$1,107.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.08 / $740.05 / $1,138.42	Professional		$455.08	$740.05	$1,138.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $265.51 / $872.67	Professional		$38.55	$265.51	$872.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $533.94 / $842.00 / $909.86	Facility		$533.94	$842.00	$909.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $598.41 / $620.61	Facility		$150.57	$598.41	$620.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.90 / $830.96 / $1,137.59	Professional		$502.90	$830.96	$1,137.59
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 $474.94 / $696.01 / $1,106.26	Professional		$474.94	$696.01	$1,106.26
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 $567.60 / $706.33 / $1,306.79	Professional		$567.60	$706.33	$1,306.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $396.83 / $396.83 / $506.93	Professional		$396.83	$396.83	$506.93