Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.56 / $2,769.52 / $11,749.74	Facility		$487.56	$2,769.52	$11,749.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $383.73 / $933.12	Professional		$237.56	$383.73	$933.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $506.45 / $4,306.60 / $8,788.86	Facility		$506.45	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.22 / $729.38 / $2,777.20	Professional		$439.22	$729.38	$2,777.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.09 / $714.97 / $870.49	Facility		$596.09	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.66 / $572.79 / $1,060.49	Professional		$313.66	$572.79	$1,060.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $309.60 / $536.61 / $890.12	Facility		$309.60	$536.61	$890.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $526.78 / $863.96	Professional		$307.83	$526.78	$863.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $237.66 / $719.35	Professional		$39.46	$237.66	$719.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $455.27 / $665.31 / $757.10	Facility		$455.27	$665.31	$757.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.94 / $506.45 / $576.34	Facility		$191.94	$506.45	$576.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.78 / $649.01 / $937.69	Professional		$434.78	$649.01	$937.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $387.45 / $604.15 / $890.55	Professional		$387.45	$604.15	$890.55
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $589.95 / $1,039.66	Professional		$434.70	$589.95	$1,039.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $311.95 / $422.52	Professional		$293.08	$311.95	$422.52