Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.38 / $1,116.60 / $14,464.32	Facility		$574.38	$1,116.60	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $574.38 / $1,162.95	Professional		$357.92	$574.38	$1,162.95
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 $603.37 / $968.67 / $3,578.33	Professional		$603.37	$968.67	$3,578.33
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 $428.62 / $781.29 / $1,359.48	Professional		$428.62	$781.29	$1,359.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.04 / $805.61 / $1,422.51	Facility		$407.04	$805.61	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $789.46 / $1,284.89	Professional		$394.32	$789.46	$1,284.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $281.65 / $918.47	Professional		$39.53	$281.65	$918.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.49 / $814.05 / $905.17	Facility		$588.49	$814.05	$905.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $591.62 / $1,613.81	Facility		$537.44	$591.62	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $922.26 / $1,144.20	Professional		$617.41	$922.26	$1,144.20
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 $594.22 / $832.05 / $1,114.30	Professional		$594.22	$832.05	$1,114.30
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 $495.20 / $680.90 / $1,283.15	Professional		$495.20	$680.90	$1,283.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $452.59 / $500.34	Professional		$376.00	$452.59	$500.34