Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.03 / $5,128.00 / $20,680.40	Facility		$1,009.03	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.62 / $698.29 / $1,531.78	Professional		$505.62	$698.29	$1,531.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $755.88 / $2,076.06 / $11,500.00	Facility		$755.88	$2,076.06	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $776.35 / $1,267.00 / $4,815.75	Professional		$776.35	$1,267.00	$4,815.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $894.39	Facility		$714.97	$870.49	$894.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.03 / $983.83 / $1,671.55	Professional		$543.03	$983.83	$1,671.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.99 / $845.29 / $1,365.65	Facility		$501.99	$845.29	$1,365.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.46 / $849.34 / $1,336.09	Professional		$512.46	$849.34	$1,336.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $353.13 / $1,079.29	Professional		$78.19	$353.13	$1,079.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $764.40 / $1,040.51 / $1,108.18	Facility		$764.40	$1,040.51	$1,108.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $731.60 / $755.88	Facility		$233.45	$731.60	$755.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.09 / $1,202.46 / $1,500.34	Professional		$841.09	$1,202.46	$1,500.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $746.13 / $1,075.90 / $1,432.36	Professional		$746.13	$1,075.90	$1,432.36
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.60 / $893.83 / $1,555.14	Professional		$648.60	$893.83	$1,555.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $460.75 / $600.02	Professional		$460.75	$460.75	$600.02