Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.22 / $10,122.46 / $27,982.24	Facility		$614.22	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.82 / $614.22 / $2,311.62	Professional		$448.82	$614.22	$2,311.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $600.00 / $16,500.00	Facility		$55.00	$600.00	$16,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,132.35 / $16,500.00	Professional		$600.00	$1,132.35	$16,500.00
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 $575.10 / $981.30 / $1,480.63	Professional		$575.10	$981.30	$1,480.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $403.44 / $756.69 / $962.74	Facility		$403.44	$756.69	$962.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.08 / $742.50 / $1,040.99	Professional		$395.08	$742.50	$1,040.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $75.00 / $356.62	Professional		$32.09	$75.00	$356.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.22 / $341.52 / $891.44	Facility		$273.22	$341.52	$891.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,097.19 / $1,225.56	Professional		$600.00	$1,097.19	$1,225.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $742.58 / $938.66 / $1,206.68	Professional		$742.58	$938.66	$1,206.68
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 $529.04 / $814.69 / $1,422.93	Professional		$529.04	$814.69	$1,422.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.91 / $366.91 / $563.70	Professional		$366.91	$366.91	$563.70