Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.38 / $4,497.00 / $20,680.40	Facility		$863.38	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.80 / $863.38 / $1,800.99	Professional		$634.80	$863.38	$1,800.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $3,132.09	Facility		$55.00	$2,000.00	$3,132.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $967.61 / $1,563.65 / $5,987.78	Professional		$967.61	$1,563.65	$5,987.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.49 / $1,221.76 / $2,054.40	Professional		$705.49	$1,221.76	$2,054.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $701.62 / $1,230.74 / $1,656.23	Facility		$701.62	$1,230.74	$1,656.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.87 / $1,230.74 / $1,668.19	Professional		$663.87	$1,230.74	$1,668.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $992.90 / $1,740.59	Professional		$175.34	$992.90	$1,740.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $905.08 / $1,322.18 / $1,378.19	Facility		$905.08	$1,322.18	$1,378.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.29 / $927.29 / $940.05	Facility		$927.29	$927.29	$940.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.65 / $1,514.78 / $1,865.90	Professional		$1,055.65	$1,514.78	$1,865.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $945.71 / $1,338.03 / $1,799.68	Professional		$945.71	$1,338.03	$1,799.68
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.28 / $1,083.14 / $1,952.25	Professional		$815.28	$1,083.14	$1,952.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $571.17 / $571.17 / $719.28	Professional		$571.17	$571.17	$719.28