Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.15 / $1,252.28 / $2,605.51	Facility		$232.15	$1,252.28	$2,605.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $631.55 / $1,297.92	Professional		$133.16	$631.55	$1,297.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $733.10 / $1,076.75 / $1,296.95	Facility		$733.10	$1,076.75	$1,296.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $220.37 / $1,427.18 / $5,036.20	Professional		$220.37	$1,427.18	$5,036.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.26 / $448.80 / $2,214.88	Professional		$158.26	$448.80	$2,214.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $468.81 / $1,747.94	Facility		$150.66	$468.81	$1,747.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.55 / $458.81 / $1,780.73	Professional		$145.55	$458.81	$1,780.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $1,140.14 / $1,927.62	Professional		$192.00	$1,140.14	$1,927.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.01 / $1,413.59 / $1,676.43	Facility		$388.01	$1,413.59	$1,676.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.77 / $1,022.77 / $1,054.13	Facility		$1,022.77	$1,022.77	$1,054.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $589.04 / $2,030.09	Professional		$227.10	$589.04	$2,030.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.91 / $959.75 / $1,835.89	Facility		$630.91	$959.75	$1,835.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $520.59 / $1,862.93	Professional		$199.50	$520.59	$1,862.93
United Facility/Professional Professional Modifier Low / Median / High Price $763.07 / $1,333.18 / $2,377.10	Professional		$763.07	$1,333.18	$2,377.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $591.34 / $831.37	Professional		$145.91	$591.34	$831.37