Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.43 / $912.43 / $912.43	Facility		$912.43	$912.43	$912.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $697.17 / $912.92	Professional		$29.76	$697.17	$912.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $177.48 / $177.48	Facility		$64.45	$177.48	$177.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $1,093.23 / $5,042.20	Professional		$51.03	$1,093.23	$5,042.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.74 / $759.74 / $759.74	Professional		$759.74	$759.74	$759.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $659.99 / $2,071.52	Facility		$29.70	$659.99	$2,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $596.12 / $1,874.58	Professional		$28.55	$596.12	$1,874.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.58 / $1,379.90 / $2,443.57	Professional		$245.58	$1,379.90	$2,443.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.21 / $1,644.18 / $1,717.88	Facility		$846.21	$1,644.18	$1,717.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.13 / $1,054.13 / $1,054.13	Facility		$1,054.13	$1,054.13	$1,054.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $991.07 / $2,045.41	Professional		$57.58	$991.07	$2,045.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,687.48 / $3,111.76 / $3,758.11	Facility		$2,687.48	$3,111.76	$3,758.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $687.92 / $1,849.99	Professional		$48.97	$687.92	$1,849.99
United Facility/Professional Professional Modifier Low / Median / High Price $810.82 / $1,220.89 / $2,331.30	Professional		$810.82	$1,220.89	$2,331.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $704.80 / $704.80 / $1,002.64	Professional		$704.80	$704.80	$1,002.64