Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.20 / $1,603.06 / $20,680.40	Facility		$837.20	$1,603.06	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.42 / $797.14 / $1,590.68	Professional		$515.42	$797.14	$1,590.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $844.99 / $5,692.96	Facility		$55.00	$844.99	$5,692.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,457.29 / $5,439.30	Professional		$886.00	$1,457.29	$5,439.30
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 $621.83 / $1,081.99 / $1,847.02	Professional		$621.83	$1,081.99	$1,847.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $572.88 / $1,141.94 / $1,528.54	Facility		$572.88	$1,141.94	$1,528.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.88 / $1,141.94 / $1,529.22	Professional		$572.88	$1,141.94	$1,529.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $543.80 / $1,416.44	Professional		$81.45	$543.80	$1,416.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $859.95 / $1,084.73 / $1,238.83	Facility		$859.95	$1,084.73	$1,238.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.35 / $830.35 / $844.99	Facility		$830.35	$830.35	$844.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.84 / $1,397.77 / $1,687.10	Professional		$879.84	$1,397.77	$1,687.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $980.65 / $1,215.53 / $1,588.29	Professional		$980.65	$1,215.53	$1,588.29
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 $658.57 / $1,072.06 / $1,773.63	Professional		$658.57	$1,072.06	$1,773.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $653.07 / $653.07	Professional		$514.04	$653.07	$653.07