Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.12 / $1,196.91 / $14,464.32	Facility		$683.12	$1,196.91	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $513.49 / $1,216.13	Professional		$322.64	$513.49	$1,216.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,866.94 / $21,924.91	Facility		$55.00	$9,866.94	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $575.66 / $1,049.85 / $3,917.92	Professional		$575.66	$1,049.85	$3,917.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.75 / $768.69 / $1,500.59	Professional		$396.75	$768.69	$1,500.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $404.87 / $705.96 / $1,381.43	Facility		$404.87	$705.96	$1,381.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $698.41 / $1,134.08	Professional		$399.28	$698.41	$1,134.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $611.24 / $1,249.82	Professional		$48.79	$611.24	$1,249.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.51 / $892.44 / $1,069.99	Facility		$584.51	$892.44	$1,069.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.81 / $715.29 / $729.83	Facility		$403.81	$715.29	$729.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.96 / $917.80 / $1,379.13	Professional		$607.96	$917.80	$1,379.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.27 / $850.87 / $1,212.92	Professional		$591.27	$850.87	$1,212.92
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 $514.42 / $857.86 / $1,539.00	Professional		$514.42	$857.86	$1,539.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $414.18 / $440.33 / $599.65	Professional		$414.18	$440.33	$599.65