Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.06 / $1,529.02 / $20,680.40	Facility		$774.06	$1,529.02	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.70 / $727.95 / $1,470.71	Professional		$450.70	$727.95	$1,470.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $766.85 / $3,882.60	Facility		$55.00	$766.85	$3,882.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $791.39 / $1,325.60 / $4,932.30	Professional		$791.39	$1,325.60	$4,932.30
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 $540.59 / $996.06 / $1,684.03	Professional		$540.59	$996.06	$1,684.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $993.00 / $1,366.53	Facility		$514.91	$993.00	$1,366.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $993.00 / $1,374.47	Professional		$514.91	$993.00	$1,374.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $655.30 / $1,334.83	Professional		$97.50	$655.30	$1,334.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.27 / $1,022.46 / $1,124.26	Facility		$757.27	$1,022.46	$1,124.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.32 / $758.32 / $766.85	Facility		$758.32	$758.32	$766.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.34 / $1,271.46 / $1,534.65	Professional		$799.34	$1,271.46	$1,534.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $895.59 / $1,103.11 / $1,441.40	Professional		$895.59	$1,103.11	$1,441.40
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 $577.07 / $959.40 / $1,613.37	Professional		$577.07	$959.40	$1,613.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.93 / $602.12 / $602.12	Professional		$467.93	$602.12	$602.12