Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.99 / $1,178.58 / $14,464.32	Facility		$580.99	$1,178.58	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $476.57 / $938.92	Professional		$277.02	$476.57	$938.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $688.70 / $1,779.82 / $3,936.16	Facility		$688.70	$1,779.82	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.08 / $966.89 / $3,659.12	Professional		$454.08	$966.89	$3,659.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $906.00	Facility		$511.44	$777.59	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.12 / $676.80 / $1,326.27	Professional		$397.12	$676.80	$1,326.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $400.95 / $681.88 / $1,190.39	Facility		$400.95	$681.88	$1,190.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $724.27 / $1,205.40	Professional		$422.50	$724.27	$1,205.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $521.00 / $1,139.16	Professional		$45.60	$521.00	$1,139.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $494.47 / $852.24 / $1,009.69	Facility		$494.47	$852.24	$1,009.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $684.48 / $688.70	Facility		$150.57	$684.48	$688.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.08 / $774.80 / $1,262.41	Professional		$454.08	$774.80	$1,262.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,101.95 / $1,740.33 / $3,404.60	Facility		$1,101.95	$1,740.33	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $437.05 / $698.08 / $1,166.42	Professional		$437.05	$698.08	$1,166.42
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.57 / $730.60 / $1,451.13	Professional		$575.57	$730.60	$1,451.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $342.74 / $555.45	Professional		$342.74	$342.74	$555.45