Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $809.19 / $809.19	Facility		$487.58	$809.19	$809.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $487.58 / $600.00	Professional		$310.80	$487.58	$600.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.93 / $2,436.81 / $4,714.28	Facility		$1,272.93	$2,436.81	$4,714.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $500.86 / $922.63	Professional		$234.00	$500.86	$922.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.97 / $1,677.50 / $2,163.84	Facility		$212.97	$1,677.50	$2,163.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $182.55 / $228.18	Professional		$152.18	$182.55	$228.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.93 / $1,727.17 / $4,155.56	Facility		$205.93	$1,727.17	$4,155.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $2,081.00 / $2,880.61	Facility		$1,299.00	$2,081.00	$2,880.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.23 / $752.23 / $752.23	Professional		$752.23	$752.23	$752.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,580.16 / $2,436.81 / $4,634.07	Facility		$1,580.16	$2,436.81	$4,634.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $670.57 / $670.57 / $670.57	Professional		$670.57	$670.57	$670.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $518.00	Professional		$400.00	$400.00	$518.00