Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.62 / $7,190.56 / $22,024.00	Facility		$429.62	$7,190.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.06 / $352.39 / $467.65	Professional		$279.06	$352.39	$467.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,728.65 / $5,840.24	Facility		$55.00	$3,728.65	$5,840.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $451.40 / $754.96 / $2,699.03	Professional		$451.40	$754.96	$2,699.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,557.08	Facility		$500.00	$870.49	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.89 / $556.60 / $931.72	Professional		$318.89	$556.60	$931.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $344.25 / $665.04 / $1,424.27	Facility		$344.25	$665.04	$1,424.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.93 / $623.90 / $1,049.08	Professional		$291.93	$623.90	$1,049.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.03 / $593.24 / $619.75	Facility		$431.03	$593.24	$619.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.85 / $541.04 / $1,144.67	Facility		$415.85	$541.04	$1,144.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.76 / $704.59 / $850.44	Professional		$444.76	$704.59	$850.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,440.66 / $8,361.00	Facility		$3,301.18	$4,440.66	$8,361.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $491.13 / $608.10 / $801.05	Professional		$491.13	$608.10	$801.05
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.26 / $530.59 / $880.96	Professional		$333.26	$530.59	$880.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $230.80 / $394.12	Professional		$230.80	$230.80	$394.12