Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $3,925.18 / $18,711.00	Facility		$699.00	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $690.31 / $1,419.41	Professional		$455.40	$690.31	$1,419.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $733.95 / $11,500.00	Facility		$400.01	$733.95	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $748.11 / $1,244.16 / $4,764.75	Professional		$748.11	$1,244.16	$4,764.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $670.00 / $761.81	Facility		$305.39	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.69 / $975.10 / $1,661.96	Professional		$519.69	$975.10	$1,661.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $226.46 / $734.88 / $1,271.04	Facility		$226.46	$734.88	$1,271.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $771.72 / $1,313.70	Professional		$235.16	$771.72	$1,313.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $301.83 / $1,058.46	Professional		$76.14	$301.83	$1,058.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $644.66 / $917.90 / $1,096.79	Facility		$644.66	$917.90	$1,096.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $719.82 / $748.11	Facility		$77.31	$719.82	$748.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.14 / $1,190.09 / $1,484.92	Professional		$830.14	$1,190.09	$1,484.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $734.12 / $1,064.83 / $1,417.64	Professional		$734.12	$1,064.83	$1,417.64
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 $577.26 / $817.14 / $1,535.21	Professional		$577.26	$817.14	$1,535.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.89 / $456.89 / $602.24	Professional		$456.89	$456.89	$602.24