Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.76 / $1,113.17 / $14,464.32	Facility		$448.76	$1,113.17	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $601.73 / $1,177.05	Professional		$238.50	$601.73	$1,177.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $947.15 / $2,583.03 / $11,500.00	Facility		$947.15	$2,583.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $429.37 / $835.31 / $3,562.26	Professional		$429.37	$835.31	$3,562.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,132.06	Facility		$466.83	$568.48	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.73 / $591.67 / $1,236.51	Professional		$303.73	$591.67	$1,236.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $291.10 / $579.80 / $1,075.19	Facility		$291.10	$579.80	$1,075.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.10 / $577.80 / $1,071.33	Professional		$291.10	$577.80	$1,071.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $440.04 / $936.34	Professional		$45.83	$440.04	$936.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $797.53 / $882.39	Facility		$478.00	$797.53	$882.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $601.58 / $927.31	Facility		$308.82	$601.58	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.83 / $638.52 / $1,098.55	Professional		$405.83	$638.52	$1,098.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,973.03 / $2,581.55 / $4,941.05	Facility		$1,973.03	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $388.80 / $613.54 / $1,078.67	Professional		$388.80	$613.54	$1,078.67
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.26 / $714.20 / $1,252.08	Professional		$526.26	$714.20	$1,252.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.17 / $357.23 / $479.76	Professional		$259.17	$357.23	$479.76