Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.63 / $994.71 / $14,464.32	Facility		$516.63	$994.71	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.09 / $516.63 / $1,068.41	Professional		$341.09	$516.63	$1,068.41
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 $543.30 / $875.01 / $3,262.43	Professional		$543.30	$875.01	$3,262.43
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 $386.96 / $713.92 / $1,224.19	Professional		$386.96	$713.92	$1,224.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.41 / $597.86 / $946.68	Facility		$249.41	$597.86	$946.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.10 / $606.65 / $952.02	Professional		$308.10	$606.65	$952.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $265.51 / $837.76	Professional		$39.65	$265.51	$837.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.04 / $719.58 / $814.05	Facility		$512.04	$719.58	$814.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $532.73 / $555.26	Facility		$77.31	$532.73	$555.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.26 / $840.03 / $1,025.52	Professional		$555.26	$840.03	$1,025.52
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 $524.01 / $749.23 / $1,006.88	Professional		$524.01	$749.23	$1,006.88
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 $444.40 / $644.39 / $1,137.15	Professional		$444.40	$644.39	$1,137.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.02 / $415.61 / $452.31	Professional		$339.02	$415.61	$452.31