Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.25 / $959.20 / $18,711.00	Facility		$556.25	$959.20	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $556.25 / $1,017.15	Professional		$326.73	$556.25	$1,017.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $662.22 / $1,477.97	Facility		$232.18	$662.22	$1,477.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $583.51 / $934.89 / $3,471.00	Professional		$583.51	$934.89	$3,471.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.63 / $716.84 / $1,319.65	Professional		$381.63	$716.84	$1,319.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.41 / $596.77 / $946.03	Facility		$249.41	$596.77	$946.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.72 / $601.21 / $978.57	Professional		$300.72	$601.21	$978.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $281.41 / $901.15	Professional		$39.53	$281.41	$901.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $498.82 / $719.95 / $877.03	Facility		$498.82	$719.95	$877.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $572.14 / $598.21	Facility		$77.31	$572.14	$598.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.21 / $891.01 / $1,101.69	Professional		$598.21	$891.01	$1,101.69
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 $531.76 / $804.66 / $1,074.03	Professional		$531.76	$804.66	$1,074.03
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 $434.00 / $616.01 / $1,242.59	Professional		$434.00	$616.01	$1,242.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.96 / $441.91 / $488.08	Professional		$364.96	$441.91	$488.08