Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.01 / $954.40 / $14,464.32	Facility		$289.01	$954.40	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $376.43 / $845.60	Professional		$157.44	$376.43	$845.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.26 / $5,068.58 / $12,000.00	Facility		$1,076.26	$5,068.58	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $258.18 / $778.01 / $3,110.96	Professional		$258.18	$778.01	$3,110.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,046.84	Facility		$466.83	$568.48	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.17 / $464.78 / $1,180.01	Professional		$209.17	$464.78	$1,180.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $514.88 / $1,658.81	Facility		$232.76	$514.88	$1,658.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $449.75 / $1,156.35	Professional		$219.82	$449.75	$1,156.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $655.08 / $1,114.02	Professional		$106.96	$655.08	$1,114.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $336.03 / $757.79 / $852.91	Facility		$336.03	$757.79	$852.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.36 / $608.39 / $1,167.02	Facility		$575.36	$608.39	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.13 / $525.92 / $1,094.48	Professional		$259.13	$525.92	$1,094.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $551.12 / $974.47	Professional		$262.94	$551.12	$974.47
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.33 / $680.36 / $1,221.34	Professional		$434.33	$680.36	$1,221.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $340.67 / $466.90	Professional		$167.38	$340.67	$466.90