Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.83 / $1,354.52 / $18,711.00	Facility		$539.83	$1,354.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.08 / $539.83 / $1,354.52	Professional		$427.08	$539.83	$1,354.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $667.91 / $1,477.97	Facility		$232.18	$667.91	$1,477.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $594.12 / $965.58 / $3,677.33	Professional		$594.12	$965.58	$3,677.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.35 / $850.02 / $1,294.10	Professional		$528.35	$850.02	$1,294.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $853.73 / $1,287.18	Facility		$279.33	$853.73	$1,287.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.12 / $861.40 / $1,287.30	Professional		$358.12	$861.40	$1,287.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $406.16 / $893.89	Professional		$75.51	$406.16	$893.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.14 / $830.96 / $1,017.73	Facility		$656.14	$830.96	$1,017.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $566.70 / $584.96	Facility		$77.31	$566.70	$584.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.12 / $915.20 / $1,145.67	Professional		$594.12	$915.20	$1,145.67
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 $577.96 / $826.36 / $1,108.48	Professional		$577.96	$826.36	$1,108.48
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 $533.20 / $731.04 / $1,225.22	Professional		$533.20	$731.04	$1,225.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.85 / $457.58 / $463.89	Professional		$355.85	$457.58	$463.89