Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.82 / $1,317.67 / $20,680.40	Facility		$628.82	$1,317.67	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $591.51 / $1,202.74	Professional		$421.90	$591.51	$1,202.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $627.46 / $3,213.30	Facility		$55.00	$627.46	$3,213.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $670.93 / $1,082.73 / $3,949.05	Professional		$670.93	$1,082.73	$3,949.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.28 / $823.55 / $1,391.84	Professional		$461.28	$823.55	$1,391.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $431.52 / $908.94 / $1,143.45	Facility		$431.52	$908.94	$1,143.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $887.57 / $1,167.05	Professional		$431.52	$887.57	$1,167.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $535.23 / $1,098.47	Professional		$89.90	$535.23	$1,098.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $651.21 / $888.42 / $919.91	Facility		$651.21	$888.42	$919.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $609.29 / $627.46	Facility		$609.29	$609.29	$627.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.41 / $1,037.10 / $1,245.45	Professional		$651.41	$1,037.10	$1,245.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $719.58 / $902.61 / $1,171.57	Professional		$719.58	$902.61	$1,171.57
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.10 / $826.86 / $1,315.97	Professional		$514.10	$826.86	$1,315.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.32 / $493.15 / $493.15	Professional		$379.32	$493.15	$493.15