Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.90 / $5,128.00 / $22,024.00	Facility		$497.90	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $497.90 / $584.22	Professional		$352.81	$497.90	$584.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $536.52 / $3,633.00	Facility		$55.00	$536.52	$3,633.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $920.03 / $4,017.65	Professional		$556.60	$920.03	$4,017.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $699.79 / $1,182.56	Professional		$405.05	$699.79	$1,182.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $372.62 / $787.36 / $992.12	Facility		$372.62	$787.36	$992.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.62 / $787.36 / $1,077.83	Professional		$372.62	$787.36	$1,077.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.70 / $758.38 / $786.58	Facility		$645.70	$758.38	$786.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.76 / $522.76 / $536.52	Facility		$522.76	$522.76	$536.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.12 / $853.96 / $1,064.94	Professional		$600.12	$853.96	$1,064.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $533.15 / $763.67 / $1,016.68	Professional		$533.15	$763.67	$1,016.68
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 $467.49 / $642.40 / $1,127.70	Professional		$467.49	$642.40	$1,127.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $469.55	Professional		$469.55	$469.55	$469.55