Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.24 / $1,283.33 / $20,680.40	Facility		$587.24	$1,283.33	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.29 / $559.62 / $1,167.08	Professional		$394.29	$559.62	$1,167.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $592.73 / $3,989.12	Facility		$55.00	$592.73	$3,989.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $611.84 / $1,023.36 / $3,817.65	Professional		$611.84	$1,023.36	$3,817.65
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 $463.32 / $787.60 / $1,292.57	Professional		$463.32	$787.60	$1,292.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $853.06 / $1,084.73	Facility		$407.96	$853.06	$1,084.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.96 / $833.22 / $1,090.93	Professional		$407.96	$833.22	$1,090.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $541.81 / $1,023.45	Professional		$62.74	$541.81	$1,023.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.32 / $828.34 / $890.43	Facility		$621.32	$828.34	$890.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.01 / $583.01 / $592.73	Facility		$583.01	$583.01	$592.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.76 / $981.56 / $1,184.74	Professional		$617.76	$981.56	$1,184.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $688.55 / $852.64 / $1,114.11	Professional		$688.55	$852.64	$1,114.11
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.97 / $730.95 / $1,263.67	Professional		$445.97	$730.95	$1,263.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $454.88 / $454.88	Professional		$360.27	$454.88	$454.88