Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.55 / $10,122.46 / $27,982.24	Facility		$479.55	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $479.55 / $1,253.14	Professional		$352.20	$479.55	$1,253.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $400.00 / $16,280.00	Facility		$55.00	$400.00	$16,280.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $432.01 / $863.36 / $16,280.00	Professional		$432.01	$863.36	$16,280.00
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 $444.79 / $779.57 / $1,107.72	Professional		$444.79	$779.57	$1,107.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $260.08 / $474.10 / $756.88	Facility		$260.08	$474.10	$756.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $488.09 / $818.39	Professional		$260.08	$488.09	$818.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $206.82	Professional		$30.00	$75.00	$206.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $191.04 / $637.28	Facility		$152.83	$191.04	$637.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $831.67 / $913.93	Professional		$400.00	$831.67	$913.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $582.08 / $717.22 / $930.94	Professional		$582.08	$717.22	$930.94
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 $359.70 / $558.00 / $982.93	Professional		$359.70	$558.00	$982.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $211.50 / $441.60	Professional		$211.50	$211.50	$441.60