Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.05 / $532.51 / $1,996.80	Facility		$455.05	$532.51	$1,996.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.91 / $1,294.80 / $1,326.00	Professional		$509.91	$1,294.80	$1,326.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $555.27 / $1,850.90	Facility		$356.22	$555.27	$1,850.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $1,885.86	Professional		$356.22	$356.22	$1,885.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $356.22 / $1,326.00	Facility		$356.22	$356.22	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $328.14 / $579.04 / $1,139.06	Facility		$328.14	$579.04	$1,139.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $544.55 / $902.86	Professional		$310.80	$544.55	$902.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $384.15 / $419.07	Professional		$70.00	$384.15	$419.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.52 / $79,999.20 / $79,999.20	Facility		$529.52	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.66 / $370.18 / $847.72	Facility		$314.66	$370.18	$847.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.69 / $356.22 / $440.03	Professional		$322.69	$356.22	$440.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $444.22 / $824.21	Facility		$356.22	$444.22	$824.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.41 / $356.22 / $356.22	Professional		$338.41	$356.22	$356.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,560.00	Professional		$1,300.00	$1,300.00	$1,560.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $349.23 / $349.23	Professional		$349.23	$349.23	$349.23