Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $805.91 / $14,464.32	Facility		$403.59	$805.91	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.42 / $323.95 / $640.95	Professional		$211.42	$323.95	$640.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,534.62 / $8,576.15 / $12,053.91	Facility		$1,534.62	$8,576.15	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $346.68 / $665.51 / $2,482.80	Professional		$346.68	$665.51	$2,482.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,302.92	Facility		$466.83	$568.48	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $497.25 / $947.03	Professional		$273.58	$497.25	$947.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $291.54 / $527.02 / $2,793.98	Facility		$291.54	$527.02	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $510.01 / $1,086.82	Professional		$279.85	$510.01	$1,086.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $299.47 / $776.34	Professional		$39.46	$299.47	$776.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $409.24 / $636.50 / $674.56	Facility		$409.24	$636.50	$674.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.27 / $904.15 / $1,781.59	Facility		$455.27	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $548.61 / $874.82	Professional		$358.80	$548.61	$874.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $537.67 / $781.16	Professional		$362.15	$537.67	$781.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.31 / $570.00 / $960.45	Professional		$358.31	$570.00	$960.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $275.52 / $375.37	Professional		$241.20	$275.52	$375.37