Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.74 / $1,341.12 / $14,464.32	Facility		$666.74	$1,341.12	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $495.17 / $940.82	Professional		$338.47	$495.17	$940.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $545.66 / $1,044.06 / $3,739.52	Professional		$545.66	$1,044.06	$3,739.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,846.84	Facility		$564.00	$906.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.05 / $764.28 / $1,332.36	Professional		$484.05	$764.28	$1,332.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $521.13 / $843.48 / $1,918.07	Facility		$521.13	$843.48	$1,918.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.50 / $870.43 / $1,582.18	Professional		$546.50	$870.43	$1,582.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $515.39 / $1,132.97	Professional		$90.34	$515.39	$1,132.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.01 / $982.22 / $1,756.22	Facility		$676.01	$982.22	$1,756.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.50 / $693.27 / $1,241.82	Facility		$679.50	$693.27	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $914.17 / $1,270.79	Professional		$550.08	$914.17	$1,270.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.45 / $763.24 / $1,217.89	Professional		$529.45	$763.24	$1,217.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.33 / $757.65 / $1,442.44	Professional		$619.33	$757.65	$1,442.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.94 / $412.94 / $551.45	Professional		$412.94	$412.94	$551.45