Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.53 / $1,081.45 / $14,464.32	Facility		$486.53	$1,081.45	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $519.65 / $1,081.45	Professional		$270.00	$519.65	$1,081.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $501.02 / $8,552.21 / $17,453.22	Facility		$501.02	$8,552.21	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $453.29 / $735.59 / $2,778.56	Professional		$453.29	$735.59	$2,778.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.52 / $765.00 / $870.49	Facility		$581.52	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $604.85 / $1,076.86	Professional		$347.71	$604.85	$1,076.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $341.45 / $584.78 / $996.82	Facility		$341.45	$584.78	$996.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.45 / $584.78 / $953.28	Professional		$341.45	$584.78	$953.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $242.93 / $734.83	Professional		$39.46	$242.93	$734.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.83 / $740.70 / $772.51	Facility		$447.83	$740.70	$772.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.67 / $501.02 / $557.51	Facility		$185.67	$501.02	$557.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.78 / $644.86 / $926.02	Professional		$434.78	$644.86	$926.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $413.54 / $598.27 / $912.23	Professional		$413.54	$598.27	$912.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.65 / $590.41 / $1,072.68	Professional		$417.65	$590.41	$1,072.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $311.68 / $422.14	Professional		$291.52	$311.68	$422.14