Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $1,131.77 / $13,809.00	Facility		$448.50	$1,131.77	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.56 / $399.67 / $1,025.21	Professional		$244.56	$399.67	$1,025.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $554.48 / $4,554.63 / $10,072.78	Facility		$554.48	$4,554.63	$10,072.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $407.27 / $722.41 / $2,815.04	Professional		$407.27	$722.41	$2,815.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.73 / $765.00 / $870.49	Facility		$567.73	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $590.01 / $1,064.96	Professional		$311.41	$590.01	$1,064.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $299.06 / $534.94 / $982.00	Facility		$299.06	$534.94	$982.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.06 / $534.94 / $922.46	Professional		$299.06	$534.94	$922.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $242.95 / $734.78	Professional		$39.46	$242.95	$734.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.43 / $733.60 / $761.12	Facility		$447.43	$733.60	$761.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $506.91 / $554.48	Facility		$184.66	$506.91	$554.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.73 / $607.71 / $933.52	Professional		$400.73	$607.71	$933.52
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 $364.88 / $580.16 / $909.03	Professional		$364.88	$580.16	$909.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,420.06 / $1,862.00 / $10,522.00	Facility		$1,420.06	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.99 / $586.29 / $1,081.36	Professional		$443.99	$586.29	$1,081.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.79 / $309.75 / $419.11	Professional		$266.79	$309.75	$419.11