Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.32 / $1,390.38 / $17,100.00	Facility		$410.32	$1,390.38	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.36 / $488.93 / $1,350.73	Professional		$218.36	$488.93	$1,350.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $927.31 / $2,583.03 / $11,500.00	Facility		$927.31	$2,583.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $838.40 / $3,364.72	Professional		$393.75	$838.40	$3,364.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,132.06	Facility		$625.25	$761.81	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.42 / $595.40 / $1,276.76	Professional		$291.42	$595.40	$1,276.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $518.74 / $1,138.76	Facility		$257.30	$518.74	$1,138.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $518.74 / $1,138.76	Professional		$257.30	$518.74	$1,138.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $449.25 / $971.65	Professional		$45.83	$449.25	$971.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.12 / $850.44 / $999.64	Facility		$501.12	$850.44	$999.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $619.24 / $927.31	Facility		$308.82	$619.24	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.70 / $619.24 / $1,145.11	Professional		$374.70	$619.24	$1,145.11
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 $354.87 / $655.58 / $1,117.59	Professional		$354.87	$655.58	$1,117.59
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 $518.88 / $886.59 / $1,535.07	Professional		$518.88	$886.59	$1,535.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.16 / $373.79 / $508.05	Professional		$236.16	$373.79	$508.05