Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.83 / $939.84 / $14,464.32	Facility		$500.83	$939.84	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.66 / $482.63 / $920.83	Professional		$324.66	$482.63	$920.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.84 / $9,172.83 / $17,546.59	Facility		$1,640.84	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $523.45 / $839.90 / $3,068.25	Professional		$523.45	$839.90	$3,068.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.97 / $672.36 / $1,184.07	Professional		$366.97	$672.36	$1,184.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $343.65 / $686.36 / $2,806.97	Facility		$343.65	$686.36	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.31 / $664.68 / $1,622.78	Professional		$341.31	$664.68	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $250.52 / $790.44	Professional		$39.50	$250.52	$790.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.74 / $682.51 / $787.92	Facility		$489.74	$682.51	$787.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.25 / $537.42 / $2,961.46	Facility		$513.25	$537.42	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.42 / $789.38 / $987.91	Professional		$537.42	$789.38	$987.91
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 $509.61 / $723.59 / $969.96	Professional		$509.61	$723.59	$969.96
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $635.51 / $1,117.07	Professional		$425.60	$635.51	$1,117.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $392.66 / $440.80	Professional		$328.24	$392.66	$440.80