Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.54 / $1,042.21 / $17,930.00	Facility		$529.54	$1,042.21	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $408.76 / $832.00	Professional		$279.26	$408.76	$832.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.27 / $8,576.15 / $26,542.00	Facility		$1,548.27	$8,576.15	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $446.19 / $807.02 / $2,915.36	Professional		$446.19	$807.02	$2,915.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,302.92	Facility		$714.97	$918.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.49 / $624.98 / $1,110.15	Professional		$342.49	$624.98	$1,110.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $358.68 / $671.92 / $2,793.98	Facility		$358.68	$671.92	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.06 / $630.60 / $1,262.81	Professional		$346.06	$630.60	$1,262.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $439.47 / $913.46	Professional		$48.67	$439.47	$913.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.05 / $737.00 / $791.94	Facility		$521.05	$737.00	$791.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.84 / $904.15 / $1,781.59	Facility		$526.84	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.29 / $705.54 / $1,019.21	Professional		$464.29	$705.54	$1,019.21
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 $474.66 / $657.07 / $916.40	Professional		$474.66	$657.07	$916.40
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 $430.99 / $666.05 / $1,137.35	Professional		$430.99	$666.05	$1,137.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $323.55 / $437.22	Professional		$315.27	$323.55	$437.22