Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.54 / $982.01 / $18,711.00	Facility		$521.54	$982.01	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.21 / $504.44 / $990.93	Professional		$341.21	$504.44	$990.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $761.06 / $1,727.76	Facility		$271.73	$761.06	$1,727.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $546.08 / $882.75 / $3,220.50	Professional		$546.08	$882.75	$3,220.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.60 / $765.00 / $870.49	Facility		$337.60	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.08 / $700.95 / $1,244.44	Professional		$383.08	$700.95	$1,244.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.66 / $603.84 / $962.38	Facility		$275.66	$603.84	$962.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.66 / $603.84 / $967.40	Professional		$305.66	$603.84	$967.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $264.79 / $838.03	Professional		$39.53	$264.79	$838.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $498.87 / $720.92 / $828.12	Facility		$498.87	$720.92	$828.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $535.45 / $564.85	Facility		$90.49	$535.45	$564.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.85 / $830.14 / $1,035.40	Professional		$564.85	$830.14	$1,035.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $574.44 / $775.57 / $1,485.77	Facility		$574.44	$775.57	$1,485.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.40 / $759.52 / $1,018.88	Professional		$512.40	$759.52	$1,018.88
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $269.00 / $5,793.00	Facility		$157.00	$269.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.68 / $645.29 / $1,155.21	Professional		$463.68	$645.29	$1,155.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.98 / $410.20 / $460.71	Professional		$343.98	$410.20	$460.71