Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.90 / $1,045.48 / $14,464.32	Facility		$625.90	$1,045.48	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $404.40 / $772.54	Professional		$295.18	$404.40	$772.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $306.30 / $6,207.20 / $12,667.56	Facility		$306.30	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $563.07 / $935.22 / $3,261.52	Professional		$563.07	$935.22	$3,261.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $734.00	Facility		$647.41	$647.41	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.05 / $610.27 / $1,255.93	Professional		$379.05	$610.27	$1,255.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $326.87 / $530.41 / $1,048.81	Facility		$326.87	$530.41	$1,048.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.67 / $549.17 / $1,012.55	Professional		$327.67	$549.17	$1,012.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $266.77 / $826.58	Professional		$39.01	$266.77	$826.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $747.72 / $876.36	Facility		$500.00	$747.72	$876.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.30 / $583.01 / $597.76	Facility		$306.30	$583.01	$597.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.12 / $793.30 / $1,095.71	Professional		$550.12	$793.30	$1,095.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.68 / $747.00 / $1,078.83	Professional		$453.68	$747.00	$1,078.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.69 / $660.63 / $1,159.29	Professional		$456.69	$660.63	$1,159.29