Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.02 / $10,122.46 / $27,982.24	Facility		$633.02	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.87 / $633.02 / $6,249.99	Professional		$462.87	$633.02	$6,249.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $600.00 / $2,902.40	Facility		$55.00	$600.00	$2,902.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $649.84 / $1,185.24 / $5,925.00	Professional		$649.84	$1,185.24	$5,925.00
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 $591.28 / $1,012.26 / $1,527.43	Professional		$591.28	$1,012.26	$1,527.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $431.83 / $853.82 / $1,249.09	Facility		$431.83	$853.82	$1,249.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.83 / $853.82 / $1,249.09	Professional		$431.83	$853.82	$1,249.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $705.46 / $971.55 / $1,011.03	Facility		$705.46	$971.55	$1,011.03
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 / $1,130.83 / $1,264.08	Professional		$600.00	$1,130.83	$1,264.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $764.52 / $968.17 / $1,244.61	Professional		$764.52	$968.17	$1,244.61
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 $523.09 / $814.43 / $1,471.45	Professional		$523.09	$814.43	$1,471.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $551.50 / $551.50	Professional		$551.50	$551.50	$551.50