Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.79 / $1,098.04 / $14,464.32	Facility		$237.79	$1,098.04	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $382.99 / $901.79	Professional		$122.34	$382.99	$901.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $911.52 / $7,780.40 / $12,000.00	Facility		$911.52	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $829.42 / $3,275.20	Professional		$208.90	$829.42	$3,275.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,311.26	Facility		$466.83	$568.48	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.84 / $430.64 / $1,252.66	Professional		$170.84	$430.64	$1,252.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.20 / $577.08 / $2,495.04	Facility		$182.20	$577.08	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $451.05 / $1,436.58	Professional		$172.48	$451.05	$1,436.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $524.96 / $1,067.43	Professional		$48.61	$524.96	$1,067.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.21 / $819.00 / $892.44	Facility		$335.21	$819.00	$892.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.87 / $929.09 / $1,915.04	Facility		$598.87	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $534.29 / $1,140.83	Professional		$213.17	$534.29	$1,140.83
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 $215.65 / $601.17 / $1,030.97	Professional		$215.65	$601.17	$1,030.97
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 $474.43 / $742.50 / $1,303.43	Professional		$474.43	$742.50	$1,303.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $360.82 / $501.40	Professional		$140.32	$360.82	$501.40