Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.59 / $10,122.46 / $27,982.24	Facility		$934.59	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $716.05 / $1,017.44	Professional		$491.63	$716.05	$1,017.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $975.24 / $6,609.44	Facility		$55.00	$975.24	$6,609.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $975.24 / $1,633.73 / $6,227.48	Professional		$975.24	$1,633.73	$6,227.48
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 $682.50 / $1,431.50 / $2,159.96	Professional		$682.50	$1,431.50	$2,159.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $635.50 / $1,257.05 / $1,838.23	Facility		$635.50	$1,257.05	$1,838.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.50 / $1,257.05 / $1,847.91	Professional		$635.50	$1,257.05	$1,847.91
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 $997.65 / $1,348.96 / $1,429.78	Facility		$997.65	$1,348.96	$1,429.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $906.45 / $906.45 / $975.24	Facility		$906.45	$906.45	$975.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.83 / $1,614.63 / $1,935.75	Professional		$1,003.83	$1,614.63	$1,935.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,070.53 / $1,402.89 / $1,812.21	Professional		$1,070.53	$1,402.89	$1,812.21
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 $727.66 / $1,181.10 / $1,883.15	Professional		$727.66	$1,181.10	$1,883.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $806.80 / $806.80 / $806.80	Professional		$806.80	$806.80	$806.80