Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.09 / $2,769.52 / $18,711.00	Facility		$653.09	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.63 / $467.21 / $952.57	Professional		$334.63	$467.21	$952.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $504.99 / $4,453.57 / $8,712.50	Facility		$504.99	$4,453.57	$8,712.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $504.99 / $832.26 / $3,209.63	Professional		$504.99	$832.26	$3,209.63
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 $342.52 / $659.38 / $1,134.72	Professional		$342.52	$659.38	$1,134.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $326.55 / $700.92 / $1,575.30	Facility		$326.55	$700.92	$1,575.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.55 / $673.35 / $1,499.41	Professional		$326.55	$673.35	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $238.37 / $719.35	Professional		$39.46	$238.37	$719.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $460.76 / $655.93 / $740.35	Facility		$460.76	$655.93	$740.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $504.99 / $1,613.81	Facility		$477.01	$504.99	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.30 / $803.34 / $1,002.35	Professional		$555.30	$803.34	$1,002.35
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 $486.49 / $715.73 / $956.93	Professional		$486.49	$715.73	$956.93
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 $391.60 / $577.61 / $1,043.70	Professional		$391.60	$577.61	$1,043.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $310.02 / $420.96	Professional		$310.02	$310.02	$420.96