Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.39 / $2,769.52 / $18,711.00	Facility		$800.39	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $587.44 / $1,167.41	Professional		$395.98	$587.44	$1,167.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $694.04 / $11,500.00	Facility		$400.01	$694.04	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $636.60 / $1,042.30 / $4,056.68	Professional		$636.60	$1,042.30	$4,056.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.53 / $829.39 / $1,416.48	Professional		$443.53	$829.39	$1,416.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $226.46 / $628.11 / $1,040.90	Facility		$226.46	$628.11	$1,040.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $632.64 / $1,076.93	Professional		$235.16	$632.64	$1,076.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $281.65 / $920.52	Professional		$39.50	$281.65	$920.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.95 / $785.91 / $933.31	Facility		$565.95	$785.91	$933.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $609.74 / $636.60	Facility		$77.31	$609.74	$636.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.80 / $1,012.71 / $1,263.58	Professional		$704.80	$1,012.71	$1,263.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $621.85 / $902.12 / $1,206.33	Professional		$621.85	$902.12	$1,206.33
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 $492.50 / $680.58 / $1,303.39	Professional		$492.50	$680.58	$1,303.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $388.70 / $514.90	Professional		$388.70	$388.70	$514.90