Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.83 / $1,156.31 / $18,711.00	Facility		$518.83	$1,156.31	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.74 / $444.97 / $1,129.96	Professional		$284.74	$444.97	$1,129.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.48 / $9,172.83 / $20,286.13	Facility		$1,328.48	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $479.48 / $806.34 / $3,122.80	Professional		$479.48	$806.34	$3,122.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.47 / $633.91 / $1,199.66	Professional		$353.47	$633.91	$1,199.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $343.99 / $662.38 / $2,806.97	Facility		$343.99	$662.38	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $653.57 / $1,622.78	Professional		$343.99	$653.57	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $250.73 / $775.70	Professional		$39.38	$250.73	$775.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $538.67 / $814.05 / $841.52	Facility		$538.67	$814.05	$841.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.10 / $573.99 / $2,961.46	Facility		$558.10	$573.99	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $691.81 / $1,036.04	Professional		$462.59	$691.81	$1,036.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.20 / $669.36 / $1,030.55	Professional		$446.20	$669.36	$1,030.55
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 $489.17 / $682.94 / $1,202.84	Professional		$489.17	$682.94	$1,202.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $345.08 / $463.96	Professional		$308.08	$345.08	$463.96