Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $1,073.59 / $14,464.32	Facility		$611.24	$1,073.59	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $482.96 / $1,022.28	Professional		$331.98	$482.96	$1,022.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,288.76 / $15,555.67 / $21,924.91	Facility		$2,288.76	$15,555.67	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $524.84 / $916.05 / $3,315.60	Professional		$524.84	$916.05	$3,315.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.69 / $718.50 / $1,273.25	Professional		$398.69	$718.50	$1,273.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $423.12 / $797.50 / $5,194.27	Facility		$423.12	$797.50	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $761.10 / $1,421.39	Professional		$411.68	$761.10	$1,421.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $531.05 / $1,083.56	Professional		$48.67	$531.05	$1,083.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $624.34 / $883.07 / $934.32	Facility		$624.34	$883.07	$934.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.54 / $1,994.21 / $3,953.90	Facility		$610.54	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $803.07 / $1,180.13	Professional		$533.91	$803.07	$1,180.13
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 $541.45 / $756.31 / $1,037.40	Professional		$541.45	$756.31	$1,037.40
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 $502.86 / $796.20 / $1,316.94	Professional		$502.86	$796.20	$1,316.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.12 / $372.14 / $499.80	Professional		$358.12	$372.14	$499.80