Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $648.49 / $14,464.32	Facility		$320.02	$648.49	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.51 / $320.02 / $658.74	Professional		$217.51	$320.02	$658.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.88 / $4,554.63 / $11,500.00	Facility		$1,160.88	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $345.49 / $564.59 / $2,183.03	Professional		$345.49	$564.59	$2,183.03
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 $240.02 / $457.01 / $772.37	Professional		$240.02	$457.01	$772.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $463.24 / $1,422.51	Facility		$225.06	$463.24	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.06 / $458.08 / $861.44	Professional		$225.06	$458.08	$861.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $233.67 / $518.34	Professional		$40.69	$233.67	$518.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $310.01 / $442.87 / $506.52	Facility		$310.01	$442.87	$506.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.43 / $345.49 / $1,613.81	Facility		$328.43	$345.49	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.49 / $539.94 / $680.33	Professional		$345.49	$539.94	$680.33
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 $334.95 / $485.98 / $649.50	Professional		$334.95	$485.98	$649.50
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $362.94 / $676.47	Professional		$272.00	$362.94	$676.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $281.77 / $283.75	Professional		$211.75	$281.77	$283.75