Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.29 / $1,025.67 / $17,930.00	Facility		$600.29	$1,025.67	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $419.15 / $810.58	Professional		$306.06	$419.15	$810.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $529.21 / $1,697.93 / $4,261.93	Facility		$529.21	$1,697.93	$4,261.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $525.29 / $893.86 / $2,988.30	Professional		$525.29	$893.86	$2,988.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $697.61	Facility		$642.00	$642.00	$697.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $616.25 / $1,187.99	Professional		$360.40	$616.25	$1,187.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.65 / $526.79 / $981.75	Facility		$345.65	$526.79	$981.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.87 / $541.50 / $981.75	Professional		$345.87	$541.50	$981.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $207.99 / $743.53	Professional		$38.47	$207.99	$743.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $497.53 / $718.74 / $775.86	Facility		$497.53	$718.74	$775.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $515.05 / $529.21	Facility		$276.02	$515.05	$529.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.21 / $816.04 / $1,005.69	Professional		$529.21	$816.04	$1,005.69
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 $474.01 / $743.23 / $983.50	Professional		$474.01	$743.23	$983.50
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 $447.84 / $586.17 / $1,061.76	Professional		$447.84	$586.17	$1,061.76