Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.40 / $1,079.64 / $20,680.40	Facility		$509.40	$1,079.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $494.80 / $981.84	Professional		$344.33	$494.80	$981.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $518.70 / $1,728.79	Facility		$55.00	$518.70	$1,728.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $896.88 / $3,346.43	Professional		$535.29	$896.88	$3,346.43
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 $420.56 / $695.91 / $1,121.88	Professional		$420.56	$695.91	$1,121.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $360.22 / $769.56 / $946.62	Facility		$360.22	$769.56	$946.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.22 / $742.44 / $972.07	Professional		$360.22	$742.44	$972.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $619.97 / $1,050.47	Professional		$103.60	$619.97	$1,050.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.29 / $719.86 / $760.45	Facility		$549.29	$719.86	$760.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.05 / $515.05 / $518.70	Facility		$515.05	$515.05	$518.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.17 / $862.10 / $1,040.55	Professional		$544.17	$862.10	$1,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $746.15 / $977.62	Professional		$608.29	$746.15	$977.62
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 $424.79 / $672.59 / $1,139.79	Professional		$424.79	$672.59	$1,139.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $389.34 / $389.34	Professional		$315.27	$389.34	$389.34