Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.94 / $7,920.26 / $27,982.24	Facility		$550.94	$7,920.26	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.94 / $617.29 / $887.87	Professional		$550.94	$617.29	$887.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.93 / $4,121.33 / $4,121.33	Facility		$1,036.93	$4,121.33	$4,121.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.27 / $1,716.59 / $6,678.83	Professional		$1,030.27	$1,716.59	$6,678.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $679.39	Professional		$679.39	$679.39	$679.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $664.33 / $1,351.04 / $1,775.08	Facility		$664.33	$1,351.04	$1,775.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.33 / $1,351.04 / $1,787.89	Professional		$664.33	$1,351.04	$1,787.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $863.35 / $1,771.82	Professional		$98.76	$863.35	$1,771.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $988.33 / $1,325.26 / $1,520.23	Facility		$988.33	$1,325.26	$1,520.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.61 / $1,020.61 / $1,036.93	Facility		$1,020.61	$1,020.61	$1,036.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.44 / $1,716.59 / $2,058.21	Professional		$1,068.44	$1,716.59	$2,058.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,040.89 / $1,475.94 / $1,872.48	Professional		$1,040.89	$1,475.94	$1,872.48
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.31 / $1,193.16 / $2,178.17	Professional		$758.31	$1,193.16	$2,178.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.26 / $630.26 / $630.26	Professional		$630.26	$630.26	$630.26