Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.78 / $1,156.33 / $18,711.00	Facility		$503.78	$1,156.33	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.44 / $446.32 / $1,080.89	Professional		$255.44	$446.32	$1,080.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.40 / $4,589.03 / $11,500.00	Facility		$1,298.40	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.15 / $811.84 / $3,151.36	Professional		$454.15	$811.84	$3,151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.25 / $626.24 / $1,194.58	Professional		$345.25	$626.24	$1,194.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.69 / $633.79 / $1,472.45	Facility		$331.69	$633.79	$1,472.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.69 / $627.84 / $1,232.78	Professional		$331.69	$627.84	$1,232.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $265.51 / $836.67	Professional		$39.46	$265.51	$836.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $507.66 / $810.70 / $850.90	Facility		$507.66	$810.70	$850.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $560.36 / $1,613.81	Facility		$537.44	$560.36	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.97 / $680.42 / $1,045.21	Professional		$448.97	$680.42	$1,045.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $432.29 / $647.38 / $1,016.50	Professional		$432.29	$647.38	$1,016.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.16 / $689.71 / $1,208.78	Professional		$498.16	$689.71	$1,208.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $348.39 / $471.75	Professional		$303.24	$348.39	$471.75