Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.99 / $954.50 / $14,464.32	Facility		$496.99	$954.50	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.51 / $461.83 / $947.14	Professional		$323.51	$461.83	$947.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.96 / $4,554.63 / $11,500.00	Facility		$1,013.96	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $520.66 / $832.98 / $3,033.90	Professional		$520.66	$832.98	$3,033.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.22 / $663.88 / $1,164.70	Professional		$369.22	$663.88	$1,164.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $353.24 / $697.26 / $1,422.51	Facility		$353.24	$697.26	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.55 / $693.82 / $1,212.18	Professional		$345.55	$693.82	$1,212.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $219.98 / $816.21	Professional		$38.60	$219.98	$816.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.73 / $703.50 / $780.55	Facility		$508.73	$703.50	$780.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.53 / $532.41 / $1,613.81	Facility		$510.53	$532.41	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.41 / $786.01 / $978.54	Professional		$532.41	$786.01	$978.54
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 $504.77 / $720.46 / $960.89	Professional		$504.77	$720.46	$960.89
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $666.00 / $5,793.00	Facility		$157.00	$666.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.98 / $609.59 / $1,094.40	Professional		$448.98	$609.59	$1,094.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $384.47 / $432.22	Professional		$324.64	$384.47	$432.22