Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.46 / $911.36 / $14,464.32	Facility		$380.46	$911.36	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $412.50 / $960.60	Professional		$206.38	$412.50	$960.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $2,532.58 / $12,000.00	Facility		$573.65	$2,532.58	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $341.85 / $769.37 / $3,002.32	Professional		$341.85	$769.37	$3,002.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,159.36	Facility		$466.83	$568.48	$1,159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.92 / $533.04 / $1,130.16	Professional		$273.92	$533.04	$1,130.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $303.19 / $574.10 / $1,127.28	Facility		$303.19	$574.10	$1,127.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.01 / $543.66 / $1,052.15	Professional		$290.01	$543.66	$1,052.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $651.19 / $1,104.57	Professional		$108.07	$651.19	$1,104.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.48 / $751.74 / $851.50	Facility		$447.48	$751.74	$851.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.54 / $557.19 / $893.94	Facility		$422.54	$557.19	$893.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $562.40 / $1,050.34	Professional		$341.63	$562.40	$1,050.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,590.05 / $4,954.47	Facility		$1,889.92	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.66 / $606.00 / $926.55	Professional		$344.66	$606.00	$926.55
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 $425.18 / $673.21 / $1,153.30	Professional		$425.18	$673.21	$1,153.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.26 / $331.56 / $446.96	Professional		$219.26	$331.56	$446.96