Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.36 / $981.41 / $14,464.32	Facility		$529.36	$981.41	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $422.21 / $1,069.10	Professional		$279.16	$422.21	$1,069.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $368.87 / $1,775.78 / $12,000.00	Facility		$368.87	$1,775.78	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.75 / $842.19 / $3,156.32	Professional		$454.75	$842.19	$3,156.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $568.48 / $646.73	Facility		$388.19	$568.48	$646.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.54 / $635.12 / $1,199.20	Professional		$353.54	$635.12	$1,199.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $362.44 / $629.74 / $1,030.18	Facility		$362.44	$629.74	$1,030.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.68 / $628.45 / $1,006.43	Professional		$358.68	$628.45	$1,006.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $488.00 / $1,006.21	Professional		$48.66	$488.00	$1,006.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $505.72 / $785.91 / $854.25	Facility		$505.72	$785.91	$854.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $509.46 / $582.67	Facility		$240.81	$509.46	$582.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.65 / $720.42 / $1,100.53	Professional		$470.65	$720.42	$1,100.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,558.33 / $2,982.61	Facility		$1,011.08	$1,558.33	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $472.51 / $673.03 / $981.83	Professional		$472.51	$673.03	$981.83
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.88 / $732.22 / $1,208.41	Professional		$446.88	$732.22	$1,208.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $318.05 / $352.53 / $477.47	Professional		$318.05	$352.53	$477.47