Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.09 / $1,413.78 / $17,100.00	Facility		$658.09	$1,413.78	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.02 / $658.09 / $1,368.68	Professional		$461.02	$658.09	$1,368.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $707.44 / $11,500.00	Facility		$400.01	$707.44	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $707.44 / $1,162.55 / $4,436.85	Professional		$707.44	$1,162.55	$4,436.85
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 $521.69 / $927.41 / $1,567.37	Professional		$521.69	$927.41	$1,567.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $810.66 / $1,235.01	Facility		$279.33	$810.66	$1,235.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.16 / $817.15 / $1,261.88	Professional		$342.16	$817.15	$1,261.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $289.52 / $977.02	Professional		$73.20	$289.52	$977.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $958.77 / $1,037.16	Facility		$676.80	$958.77	$1,037.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $687.20 / $707.44	Facility		$77.31	$687.20	$707.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.78 / $1,106.82 / $1,383.33	Professional		$715.78	$1,106.82	$1,383.33
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 $700.85 / $999.77 / $1,323.99	Professional		$700.85	$999.77	$1,323.99
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 $618.35 / $815.93 / $1,459.21	Professional		$618.35	$815.93	$1,459.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $554.85 / $562.74	Professional		$430.39	$554.85	$562.74