Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $1,907.89 / $1,991.94	Facility		$624.36	$1,907.89	$1,991.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $624.36 / $1,454.03	Professional		$587.63	$624.36	$1,454.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $873.44 / $1,746.88 / $9,046.45	Facility		$873.44	$1,746.88	$9,046.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $976.63 / $4,449.60	Professional		$848.00	$976.63	$4,449.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $1,680.96	Facility		$624.36	$624.36	$1,680.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,587.13 / $5,936.00 / $54,314.40	Facility		$2,587.13	$5,936.00	$54,314.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.93 / $976.93 / $976.93	Professional		$976.93	$976.93	$976.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.81 / $697.81 / $2,219.00	Facility		$697.81	$697.81	$2,219.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.44 / $2,113.71 / $9,770.66	Facility		$873.44	$2,113.71	$9,770.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.36 / $939.36 / $939.36	Professional		$939.36	$939.36	$939.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $873.44 / $1,089.38 / $1,944.71	Facility		$873.44	$1,089.38	$1,944.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $976.63 / $1,015.70	Professional		$848.00	$976.63	$1,015.70
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $734.53	Professional		$612.11	$612.11	$734.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $976.93 / $976.93	Professional		$824.00	$976.93	$976.93