Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.12 / $1,744.17 / $20,680.40	Facility		$933.12	$1,744.17	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $899.95 / $1,772.93	Professional		$627.91	$899.95	$1,772.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $935.45 / $6,414.40	Facility		$55.00	$935.45	$6,414.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $995.74 / $1,653.72 / $6,089.48	Professional		$995.74	$1,653.72	$6,089.48
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 $697.66 / $1,228.98 / $2,077.05	Professional		$697.66	$1,228.98	$2,077.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $644.49 / $1,367.10 / $1,725.78	Facility		$644.49	$1,367.10	$1,725.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.49 / $1,319.77 / $1,725.78	Professional		$644.49	$1,319.77	$1,725.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $813.53 / $1,645.41	Professional		$98.49	$813.53	$1,645.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $976.57 / $1,332.63 / $1,393.60	Facility		$976.57	$1,332.63	$1,393.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.45 / $935.45 / $950.56	Facility		$935.45	$935.45	$950.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.38 / $1,568.98 / $1,893.74	Professional		$990.38	$1,568.98	$1,893.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,104.77 / $1,367.39 / $1,786.47	Professional		$1,104.77	$1,367.39	$1,786.47
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 $755.23 / $1,175.88 / $1,990.85	Professional		$755.23	$1,175.88	$1,990.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $597.13 / $754.63 / $754.63	Professional		$597.13	$754.63	$754.63