Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.64 / $1,043.64 / $14,464.32	Facility		$586.64	$1,043.64	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $457.15 / $1,043.64	Professional		$290.94	$457.15	$1,043.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,308.60 / $12,053.91	Facility		$55.00	$5,308.60	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $498.62 / $926.15 / $3,462.72	Professional		$498.62	$926.15	$3,462.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.42 / $765.40 / $947.00	Facility		$459.42	$765.40	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.87 / $686.02 / $1,323.64	Professional		$351.87	$686.02	$1,323.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $360.84 / $628.30 / $1,227.08	Facility		$360.84	$628.30	$1,227.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $612.59 / $1,006.27	Professional		$356.20	$612.59	$1,006.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $559.55 / $1,128.11	Professional		$48.67	$559.55	$1,128.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.02 / $774.52 / $945.37	Facility		$527.02	$774.52	$945.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.03 / $636.01 / $644.83	Facility		$355.03	$636.01	$644.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.25 / $791.63 / $1,227.19	Professional		$523.25	$791.63	$1,227.19
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 $513.75 / $751.14 / $1,071.65	Professional		$513.75	$751.14	$1,071.65
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 $457.54 / $771.13 / $1,346.15	Professional		$457.54	$771.13	$1,346.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.66 / $388.43 / $528.01	Professional		$347.66	$388.43	$528.01