Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.51 / $1,119.72 / $14,464.32	Facility		$592.51	$1,119.72	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $460.09 / $1,027.90	Professional		$307.10	$460.09	$1,027.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $1,740.33 / $3,474.61	Facility		$313.93	$1,740.33	$3,474.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $508.50 / $955.23 / $3,657.75	Professional		$508.50	$955.23	$3,657.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.74 / $632.09 / $731.00	Facility		$415.74	$632.09	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.55 / $684.05 / $1,220.60	Professional		$436.55	$684.05	$1,220.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $422.53 / $667.59 / $1,096.58	Facility		$422.53	$667.59	$1,096.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.88 / $702.28 / $1,110.00	Professional		$425.88	$702.28	$1,110.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $262.87 / $899.23	Professional		$38.55	$262.87	$899.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $536.27 / $824.77 / $903.83	Facility		$536.27	$824.77	$903.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.36 / $595.70 / $616.49	Facility		$235.36	$595.70	$616.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.07 / $838.90 / $1,130.06	Professional		$508.07	$838.90	$1,130.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $483.71 / $703.17 / $1,082.28	Professional		$483.71	$703.17	$1,082.28
United Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $2,145.80 / $4,137.14	Facility		$588.00	$2,145.80	$4,137.14
United Facility/Professional Professional Modifier Low / Median / High Price $547.39 / $681.18 / $1,287.02	Professional		$547.39	$681.18	$1,287.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.01 / $398.01 / $501.79	Professional		$398.01	$398.01	$501.79