Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.80 / $1,733.00 / $20,680.40	Facility		$868.80	$1,733.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.53 / $828.07 / $1,656.44	Professional		$582.53	$828.07	$1,656.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $879.73 / $5,254.20	Facility		$55.00	$879.73	$5,254.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $903.36 / $1,516.00 / $5,533.80	Professional		$903.36	$1,516.00	$5,533.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.83 / $1,153.00 / $1,948.63	Professional		$642.83	$1,153.00	$1,948.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $1,238.76 / $1,584.97	Facility		$590.94	$1,238.76	$1,584.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.38 / $1,215.58 / $1,604.86	Professional		$588.38	$1,215.58	$1,604.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $754.43 / $1,495.54	Professional		$98.67	$754.43	$1,495.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.43 / $1,201.31 / $1,289.75	Facility		$914.43	$1,201.31	$1,289.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.55 / $852.55 / $879.73	Facility		$852.55	$852.55	$879.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.52 / $1,454.08 / $1,746.17	Professional		$905.52	$1,454.08	$1,746.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,006.87 / $1,265.27 / $1,642.59	Professional		$1,006.87	$1,265.27	$1,642.59
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 $702.38 / $1,051.04 / $1,845.06	Professional		$702.38	$1,051.04	$1,845.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $532.26 / $689.03 / $689.03	Professional		$532.26	$689.03	$689.03