Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $1,621.24 / $18,711.00	Facility		$879.98	$1,621.24	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.69 / $792.91 / $1,979.75	Professional		$563.69	$792.91	$1,979.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $692.21 / $1,530.85	Facility		$238.32	$692.21	$1,530.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $815.07 / $1,341.90 / $5,095.68	Professional		$815.07	$1,341.90	$5,095.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.02 / $765.00 / $870.49	Facility		$294.02	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.91 / $1,114.66 / $1,912.66	Professional		$667.91	$1,114.66	$1,912.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $268.93 / $1,117.02 / $1,887.89	Facility		$268.93	$1,117.02	$1,887.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.73 / $1,117.02 / $1,778.53	Professional		$353.73	$1,117.02	$1,778.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $753.07 / $1,599.68	Professional		$93.33	$753.07	$1,599.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $1,343.28 / $1,465.29	Facility		$842.71	$1,343.28	$1,465.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $898.30 / $933.19	Facility		$79.37	$898.30	$933.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.29 / $1,196.91 / $1,678.67	Professional		$804.29	$1,196.91	$1,678.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $705.40 / $1,351.35	Facility		$505.09	$705.40	$1,351.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $1,098.24 / $1,629.53	Professional		$699.14	$1,098.24	$1,629.53
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 $842.94 / $1,122.88 / $1,986.93	Professional		$842.94	$1,122.88	$1,986.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $518.58 / $572.84 / $756.93	Professional		$518.58	$572.84	$756.93