Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.69 / $774.73 / $14,464.32	Facility		$449.69	$774.73	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.54 / $334.79 / $774.73	Professional		$207.54	$334.79	$774.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.35 / $7,780.40 / $16,394.00	Facility		$1,641.35	$7,780.40	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $379.85 / $693.88 / $2,601.36	Professional		$379.85	$693.88	$2,601.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,311.26	Facility		$625.25	$761.81	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $524.20 / $989.18	Professional		$290.00	$524.20	$989.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $528.46 / $2,495.04	Facility		$283.02	$528.46	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $499.50 / $1,037.79	Professional		$274.97	$499.50	$1,037.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $387.92 / $796.99	Professional		$48.61	$387.92	$796.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $406.21 / $591.60 / $705.51	Facility		$406.21	$591.60	$705.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.21 / $929.09 / $1,915.04	Facility		$470.21	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.33 / $605.16 / $893.57	Professional		$400.33	$605.16	$893.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,956.97 / $15,220.78	Facility		$5,159.74	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $564.35 / $807.40	Professional		$396.14	$564.35	$807.40
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 $335.63 / $548.69 / $995.61	Professional		$335.63	$548.69	$995.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $289.58 / $391.98	Professional		$269.25	$289.58	$391.98