Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.92 / $1,023.42 / $14,464.32	Facility		$554.92	$1,023.42	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $427.10 / $1,023.42	Professional		$307.12	$427.10	$1,023.42
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 $472.67 / $829.71 / $2,982.08	Professional		$472.67	$829.71	$2,982.08
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 $376.54 / $658.19 / $1,144.63	Professional		$376.54	$658.19	$1,144.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $392.27 / $693.86 / $1,085.65	Facility		$392.27	$693.86	$1,085.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.20 / $688.43 / $1,030.84	Professional		$381.20	$688.43	$1,030.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $449.34 / $953.51	Professional		$48.61	$449.34	$953.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $573.49 / $777.20 / $867.65	Facility		$573.49	$777.20	$867.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $509.46 / $547.94	Facility		$240.81	$509.46	$547.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.79 / $715.68 / $1,038.79	Professional		$492.79	$715.68	$1,038.79
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 $499.20 / $695.05 / $935.48	Professional		$499.20	$695.05	$935.48
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $461.76 / $1,875.00	Facility		$125.00	$461.76	$1,875.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $701.80 / $1,152.80	Professional		$452.40	$701.80	$1,152.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $333.09 / $334.32 / $449.90	Professional		$333.09	$334.32	$449.90