Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.32 / $640.32 / $640.32	Facility		$640.32	$640.32	$640.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.66 / $726.41 / $1,005.44	Professional		$505.66	$726.41	$1,005.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,391.44 / $3,391.44	Facility		$100.00	$3,391.44	$3,391.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $560.10 / $4,271.12	Professional		$93.86	$560.10	$4,271.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $83.43	Professional		$24.99	$24.99	$83.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,405.30 / $1,706.23 / $2,620.39	Facility		$1,405.30	$1,706.23	$2,620.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.94 / $1,270.45 / $1,991.84	Professional		$723.94	$1,270.45	$1,991.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $92.08	Professional		$30.00	$70.00	$92.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $112.33 / $112.33	Facility		$112.33	$112.33	$112.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $894.00 / $1,404.13	Professional		$75.98	$894.00	$1,404.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $153.78 / $187.24	Professional		$153.78	$153.78	$187.24
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $91.28 / $175.79	Professional		$60.85	$91.28	$175.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.10 / $560.10 / $560.10	Professional		$560.10	$560.10	$560.10