Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.87 / $1,046.15 / $14,464.32	Facility		$425.87	$1,046.15	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $473.45 / $1,122.83	Professional		$229.72	$473.45	$1,122.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.52 / $2,583.03 / $11,500.00	Facility		$1,104.52	$2,583.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $410.55 / $897.60 / $3,508.96	Professional		$410.55	$897.60	$3,508.96
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 $287.76 / $601.08 / $1,304.96	Professional		$287.76	$601.08	$1,304.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $278.72 / $540.99 / $1,035.49	Facility		$278.72	$540.99	$1,035.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.72 / $534.55 / $1,019.61	Professional		$278.72	$534.55	$1,019.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $514.49 / $1,089.62	Professional		$45.85	$514.49	$1,089.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.78 / $789.33 / $963.46	Facility		$424.78	$789.33	$963.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $631.03 / $927.31	Facility		$308.82	$631.03	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.70 / $657.17 / $1,164.40	Professional		$383.70	$657.17	$1,164.40
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 $372.10 / $643.57 / $1,111.06	Professional		$372.10	$643.57	$1,111.06
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 $512.44 / $802.62 / $1,348.79	Professional		$512.44	$802.62	$1,348.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $396.71 / $537.13	Professional		$257.73	$396.71	$537.13