Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.22 / $1,056.55 / $14,464.32	Facility		$541.22	$1,056.55	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $541.66 / $1,097.58	Professional		$361.62	$541.66	$1,097.58
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 $571.50 / $920.33 / $3,441.75	Professional		$571.50	$920.33	$3,441.75
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 $407.07 / $752.27 / $1,289.90	Professional		$407.07	$752.27	$1,289.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $382.72 / $767.01 / $1,422.51	Facility		$382.72	$767.01	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.76 / $757.78 / $1,255.25	Professional		$370.76	$757.78	$1,255.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $266.77 / $837.76	Professional		$39.65	$266.77	$837.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.80 / $760.45 / $858.27	Facility		$527.80	$760.45	$858.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $559.91 / $1,613.81	Facility		$537.44	$559.91	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.41 / $884.17 / $1,076.00	Professional		$585.41	$884.17	$1,076.00
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 $571.03 / $787.80 / $1,061.67	Professional		$571.03	$787.80	$1,061.67
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.49 / $652.95 / $1,152.29	Professional		$468.49	$652.95	$1,152.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $437.15 / $476.22	Professional		$357.23	$437.15	$476.22