Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.48 / $1,733.00 / $20,680.40	Facility		$945.48	$1,733.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.66 / $904.66 / $1,796.41	Professional		$616.66	$904.66	$1,796.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $957.87 / $6,449.36	Facility		$55.00	$957.87	$6,449.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $965.73 / $1,612.55 / $9,818.02	Professional		$965.73	$1,612.55	$9,818.02
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 $703.91 / $1,237.09 / $2,090.76	Professional		$703.91	$1,237.09	$2,090.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $648.52 / $1,295.20 / $1,733.70	Facility		$648.52	$1,295.20	$1,733.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $1,295.20 / $1,733.70	Professional		$648.52	$1,295.20	$1,733.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $813.53 / $1,645.41	Professional		$98.49	$813.53	$1,645.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.55 / $1,301.49 / $1,404.32	Facility		$977.55	$1,301.49	$1,404.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.69 / $942.69 / $957.87	Facility		$942.69	$942.69	$957.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.88 / $1,585.72 / $1,913.95	Professional		$998.88	$1,585.72	$1,913.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,113.33 / $1,377.91 / $1,800.46	Professional		$1,113.33	$1,377.91	$1,800.46
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 $762.80 / $1,207.79 / $2,012.11	Professional		$762.80	$1,207.79	$2,012.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $583.05 / $737.99 / $737.99	Professional		$583.05	$737.99	$737.99