Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.61 / $1,254.53 / $14,464.32	Facility		$734.61	$1,254.53	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.11 / $594.00 / $1,218.35	Professional		$365.11	$594.00	$1,218.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $651.23 / $1,710.73 / $9,102.00	Facility		$651.23	$1,710.73	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $642.64 / $1,085.75 / $3,591.08	Professional		$642.64	$1,085.75	$3,591.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $641.28	Facility		$479.00	$479.00	$641.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.47 / $749.27 / $1,441.01	Professional		$444.47	$749.27	$1,441.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $327.16 / $609.00 / $1,200.11	Facility		$327.16	$609.00	$1,200.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.21 / $651.77 / $1,200.11	Professional		$329.21	$651.77	$1,200.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $283.82 / $905.18	Professional		$73.20	$283.82	$905.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.72 / $887.90 / $954.75	Facility		$650.72	$887.90	$954.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $630.12 / $651.23	Facility		$276.02	$630.12	$651.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.23 / $983.84 / $1,221.66	Professional		$651.23	$983.84	$1,221.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.59 / $1,646.32 / $3,151.02	Facility		$1,195.59	$1,646.32	$3,151.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $567.34 / $894.60 / $1,203.21	Professional		$567.34	$894.60	$1,203.21
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.50 / $741.97 / $1,341.41	Professional		$541.50	$741.97	$1,341.41