Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.32 / $1,733.00 / $20,680.40	Facility		$855.32	$1,733.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.03 / $814.77 / $1,627.19	Professional		$583.03	$814.77	$1,627.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,000.00 / $5,173.84	Facility		$55.00	$1,000.00	$5,173.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $892.50 / $1,432.01 / $6,421.14	Professional		$892.50	$1,432.01	$6,421.14
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 $632.92 / $1,135.92 / $1,919.76	Professional		$632.92	$1,135.92	$1,919.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $587.17 / $1,216.44 / $1,563.75	Facility		$587.17	$1,216.44	$1,563.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.46 / $1,207.85 / $1,577.56	Professional		$578.46	$1,207.85	$1,577.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $554.30 / $1,434.20	Professional		$81.09	$554.30	$1,434.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $890.51 / $1,185.23 / $1,269.65	Facility		$890.51	$1,185.23	$1,269.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $838.96 / $838.96 / $866.02	Facility		$838.96	$838.96	$866.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.41 / $1,432.01 / $1,718.95	Professional		$891.41	$1,432.01	$1,718.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $990.82 / $1,245.77 / $1,616.99	Professional		$990.82	$1,245.77	$1,616.99
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 $672.22 / $1,034.73 / $1,787.91	Professional		$672.22	$1,034.73	$1,787.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $525.08 / $681.02 / $681.02	Professional		$525.08	$681.02	$681.02