Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.83 / $702.50 / $4,368.00	Facility		$440.83	$702.50	$4,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $475.00 / $937.66	Professional		$375.00	$475.00	$937.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $549.73 / $777.72 / $2,520.96	Facility		$549.73	$777.72	$2,520.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $595.98 / $1,028.16 / $3,250.35	Professional		$595.98	$1,028.16	$3,250.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $629.27 / $1,060.50	Facility		$308.58	$629.27	$1,060.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.92 / $848.85 / $1,366.64	Professional		$441.92	$848.85	$1,366.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $904.80 / $1,274.98	Facility		$235.00	$904.80	$1,274.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $988.43 / $1,279.07	Professional		$472.79	$988.43	$1,279.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $344.10 / $854.47	Professional		$67.29	$344.10	$854.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $614.70 / $819.60 / $910.53	Facility		$614.70	$819.60	$910.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $91.43 / $160.34	Professional		$91.43	$91.43	$160.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.19 / $575.82 / $584.37	Facility		$259.19	$575.82	$584.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.87 / $975.47 / $1,199.52	Professional		$660.87	$975.47	$1,199.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $461.12 / $679.00 / $1,320.55	Facility		$461.12	$679.00	$1,320.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $595.98 / $871.92 / $1,214.79	Professional		$595.98	$871.92	$1,214.79
United Facility/Professional Professional Modifier Low / Median / High Price $408.60 / $539.16 / $1,329.13	Professional		$408.60	$539.16	$1,329.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $443.86 / $443.86 / $443.86	Professional		$443.86	$443.86	$443.86