Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.35 / $1,264.39 / $14,464.32	Facility		$638.35	$1,264.39	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $638.35 / $1,264.39	Professional		$403.44	$638.35	$1,264.39
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 $675.44 / $1,083.08 / $4,053.90	Professional		$675.44	$1,083.08	$4,053.90
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 $480.61 / $886.30 / $1,508.71	Professional		$480.61	$886.30	$1,508.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $741.20 / $1,164.66	Facility		$279.33	$741.20	$1,164.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.83 / $752.59 / $1,184.26	Professional		$325.83	$752.59	$1,184.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.09 / $998.95	Professional		$76.14	$299.09	$998.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $658.44 / $899.14 / $1,004.33	Facility		$658.44	$899.14	$1,004.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $662.29 / $685.04	Facility		$77.31	$662.29	$685.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.04 / $1,046.24 / $1,269.95	Professional		$685.04	$1,046.24	$1,269.95
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 $656.46 / $928.43 / $1,251.19	Professional		$656.46	$928.43	$1,251.19
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 $574.50 / $782.04 / $1,406.00	Professional		$574.50	$782.04	$1,406.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $417.42 / $514.11 / $555.54	Professional		$417.42	$514.11	$555.54