Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.61 / $936.80 / $14,464.32	Facility		$472.61	$936.80	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.79 / $472.61 / $963.80	Professional		$318.79	$472.61	$963.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $505.77 / $811.55 / $3,033.75	Professional		$505.77	$811.55	$3,033.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.91 / $663.70 / $1,131.47	Professional		$359.91	$663.70	$1,131.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $337.99 / $687.54 / $1,422.51	Facility		$337.99	$687.54	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $674.11 / $1,160.61	Professional		$334.07	$674.11	$1,160.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $133.95 / $783.49	Professional		$29.37	$133.95	$783.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $474.77 / $668.66 / $753.08	Facility		$474.77	$668.66	$753.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.60 / $513.66 / $1,613.81	Facility		$490.60	$513.66	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.66 / $778.40 / $946.11	Professional		$513.66	$778.40	$946.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $500.35 / $693.79 / $936.40	Professional		$500.35	$693.79	$936.40
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 $423.99 / $582.61 / $1,047.85	Professional		$423.99	$582.61	$1,047.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $385.42 / $417.78	Professional		$314.16	$385.42	$417.78