Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.22 / $1,347.48 / $14,464.32	Facility		$681.22	$1,347.48	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.04 / $681.22 / $1,384.66	Professional		$430.04	$681.22	$1,384.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $733.94 / $11,500.00	Facility		$400.01	$733.94	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $725.73 / $1,165.01 / $4,371.60	Professional		$725.73	$1,165.01	$4,371.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.24 / $954.06 / $1,614.64	Professional		$512.24	$954.06	$1,614.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $787.17 / $1,248.42	Facility		$279.33	$787.17	$1,248.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.94 / $805.04 / $1,266.52	Professional		$336.94	$805.04	$1,266.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $205.25 / $1,048.32	Professional		$56.28	$205.25	$1,048.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $646.20 / $963.46 / $1,076.02	Facility		$646.20	$963.46	$1,076.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $703.96 / $733.94	Facility		$77.31	$703.96	$733.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.94 / $1,124.76 / $1,361.56	Professional		$733.94	$1,124.76	$1,361.56
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 $701.90 / $991.41 / $1,344.21	Professional		$701.90	$991.41	$1,344.21
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 $619.08 / $810.70 / $1,500.16	Professional		$619.08	$810.70	$1,500.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $552.60 / $594.03	Professional		$447.51	$552.60	$594.03