Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.02 / $883.32 / $11,522.02	Facility		$423.02	$883.32	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.61 / $348.78 / $793.03	Professional		$211.61	$348.78	$793.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $3,342.27 / $12,000.00	Facility		$874.44	$3,342.27	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $366.48 / $699.22 / $2,606.40	Professional		$366.48	$699.22	$2,606.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,499.24	Facility		$466.83	$568.48	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $519.55 / $993.84	Professional		$282.66	$519.55	$993.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $538.99 / $1,111.78	Facility		$289.82	$538.99	$1,111.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $515.62 / $942.43	Professional		$281.56	$515.62	$942.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $431.76 / $869.78	Professional		$48.79	$431.76	$869.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $412.83 / $635.16 / $712.21	Facility		$412.83	$635.16	$712.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.80 / $552.13 / $929.09	Facility		$483.80	$552.13	$929.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.84 / $587.48 / $924.92	Professional		$379.84	$587.48	$924.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,554.42 / $3,344.18 / $6,397.05	Facility		$2,554.42	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $383.02 / $571.38 / $822.76	Professional		$383.02	$571.38	$822.76
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 $367.00 / $594.01 / $1,024.39	Professional		$367.00	$594.01	$1,024.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $295.11 / $396.47	Professional		$249.67	$295.11	$396.47