Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.05 / $890.59 / $17,930.00	Facility		$567.05	$890.59	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $438.46 / $999.65	Professional		$282.01	$438.46	$999.65
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 $477.22 / $926.79 / $3,487.44	Professional		$477.22	$926.79	$3,487.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $815.97 / $947.00	Facility		$489.78	$815.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.93 / $638.08 / $1,328.46	Professional		$323.93	$638.08	$1,328.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $332.62 / $584.21 / $1,231.36	Facility		$332.62	$584.21	$1,231.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $564.39 / $966.42	Professional		$310.31	$564.39	$966.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $543.66 / $1,160.57	Professional		$48.61	$543.66	$1,160.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $511.52 / $780.88 / $952.07	Facility		$511.52	$780.88	$952.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.84 / $636.01 / $649.40	Facility		$372.84	$636.01	$649.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.42 / $772.36 / $1,223.90	Professional		$504.42	$772.36	$1,223.90
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 $490.57 / $751.14 / $1,079.25	Professional		$490.57	$751.14	$1,079.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.72 / $756.38 / $1,348.05	Professional		$448.72	$756.38	$1,348.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.82 / $392.29 / $537.00	Professional		$344.82	$392.29	$537.00