Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.86 / $1,433.96 / $20,680.40	Facility		$798.86	$1,433.96	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.07 / $740.97 / $1,433.96	Professional		$450.07	$740.97	$1,433.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $790.15 / $4,005.36	Facility		$55.00	$790.15	$4,005.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $792.12 / $1,363.14 / $5,078.18	Professional		$792.12	$1,363.14	$5,078.18
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 $541.29 / $1,006.04 / $1,739.47	Professional		$541.29	$1,006.04	$1,739.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $1,032.99 / $1,394.71	Facility		$527.00	$1,032.99	$1,394.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $1,032.99 / $1,406.75	Professional		$527.00	$1,032.99	$1,406.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $688.39 / $1,362.20	Professional		$98.67	$688.39	$1,362.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.56 / $995.67 / $1,158.43	Facility		$707.56	$995.67	$1,158.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.71 / $778.71 / $790.15	Facility		$778.71	$778.71	$790.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.84 / $1,310.27 / $1,581.48	Professional		$816.84	$1,310.27	$1,581.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $919.66 / $1,136.65 / $1,485.21	Professional		$919.66	$1,136.65	$1,485.21
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 $583.96 / $959.77 / $1,662.60	Professional		$583.96	$959.77	$1,662.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.84 / $625.11 / $625.11	Professional		$482.84	$625.11	$625.11