Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.64 / $1,317.67 / $17,100.00	Facility		$567.64	$1,317.67	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.01 / $604.24 / $1,224.64	Professional		$329.01	$604.24	$1,224.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $602.49 / $4,281.14 / $8,712.50	Facility		$602.49	$4,281.14	$8,712.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $512.61 / $870.90 / $3,369.12	Professional		$512.61	$870.90	$3,369.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.85 / $765.00 / $870.49	Facility		$632.85	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $700.88 / $1,291.73	Professional		$378.00	$700.88	$1,291.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $364.04 / $643.20 / $1,148.07	Facility		$364.04	$643.20	$1,148.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.04 / $643.20 / $1,082.36	Professional		$364.04	$643.20	$1,082.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $271.39 / $891.98	Professional		$39.46	$271.39	$891.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $546.72 / $854.12 / $907.18	Facility		$546.72	$854.12	$907.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.73 / $602.49 / $618.78	Facility		$205.73	$602.49	$618.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.43 / $754.91 / $1,115.22	Professional		$507.43	$754.91	$1,115.22
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 $457.80 / $713.29 / $1,070.67	Professional		$457.80	$713.29	$1,070.67
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 $517.79 / $715.55 / $1,291.83	Professional		$517.79	$715.55	$1,291.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $369.93 / $496.48	Professional		$335.08	$369.93	$496.48