Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.27 / $1,105.04 / $14,464.32	Facility		$618.27	$1,105.04	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.72 / $618.27 / $1,241.86	Professional		$409.72	$618.27	$1,241.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.02 / $4,554.63 / $11,500.00	Facility		$1,217.02	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $647.72 / $1,039.60 / $3,837.90	Professional		$647.72	$1,039.60	$3,837.90
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 $455.82 / $839.37 / $1,465.64	Professional		$455.82	$839.37	$1,465.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $417.68 / $831.96 / $1,472.45	Facility		$417.68	$831.96	$1,472.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.29 / $826.50 / $1,366.20	Professional		$421.29	$826.50	$1,366.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $287.29 / $981.97	Professional		$39.65	$287.29	$981.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.46 / $834.47 / $974.18	Facility		$579.46	$834.47	$974.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $635.11 / $1,613.81	Facility		$537.44	$635.11	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.48 / $985.37 / $1,225.67	Professional		$664.48	$985.37	$1,225.67
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 $637.25 / $893.48 / $1,199.26	Professional		$637.25	$893.48	$1,199.26
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 $530.91 / $766.75 / $1,345.07	Professional		$530.91	$766.75	$1,345.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.27 / $488.09 / $541.76	Professional		$405.27	$488.09	$541.76