Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,769.52 / $20,680.40	Facility		$521.00	$2,769.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.61 / $417.69 / $895.57	Professional		$313.61	$417.69	$895.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $467.97 / $1,304.39 / $2,778.23	Facility		$467.97	$1,304.39	$2,778.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $468.47 / $778.40 / $3,411.19	Professional		$468.47	$778.40	$3,411.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.48 / $568.48 / $568.48	Facility		$568.48	$568.48	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.15 / $581.34 / $1,010.57	Professional		$355.15	$581.34	$1,010.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $536.28 / $884.01	Facility		$315.08	$536.28	$884.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.04 / $518.88 / $859.77	Professional		$305.04	$518.88	$859.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $573.21 / $984.99	Professional		$99.30	$573.21	$984.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $507.45 / $656.48 / $689.52	Facility		$507.45	$656.48	$689.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.34 / $459.34 / $467.97	Facility		$459.34	$459.34	$467.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.69 / $778.40 / $947.23	Professional		$481.69	$778.40	$947.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,230.20 / $2,353.23	Facility		$797.73	$1,230.20	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.47 / $666.09 / $873.77	Professional		$468.47	$666.09	$873.77
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $666.00 / $5,793.00	Facility		$125.00	$666.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.57 / $545.39 / $980.51	Professional		$353.57	$545.39	$980.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.41 / $352.85 / $352.85	Professional		$282.41	$352.85	$352.85