Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $419.28 / $641.70	Professional		$244.50	$419.28	$641.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $843.63 / $2,481.55 / $2,522.61	Facility		$843.63	$2,481.55	$2,522.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $408.43 / $1,094.13	Professional		$153.52	$408.43	$1,094.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $654.75 / $654.75	Facility		$654.00	$654.75	$654.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $556.54 / $750.00	Professional		$49.75	$556.54	$750.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Professional		$504.00	$504.00	$504.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.10 / $926.19 / $1,259.79	Facility		$771.10	$926.19	$1,259.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $771.10 / $926.19 / $939.34	Professional		$771.10	$926.19	$939.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $73.53 / $73.53	Facility		$73.53	$73.53	$73.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $415.99 / $1,481.11	Professional		$41.60	$415.99	$1,481.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $126.08 / $153.52	Professional		$126.08	$126.08	$153.52
United Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $456.41 / $662.97	Professional		$397.78	$456.41	$662.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $408.43 / $930.08	Professional		$408.43	$408.43	$930.08