Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.33 / $10,122.46 / $27,982.24	Facility		$197.33	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $197.33 / $303.98	Professional		$180.00	$197.33	$303.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $927.31 / $2,583.03 / $4,941.05	Facility		$927.31	$2,583.03	$4,941.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.94 / $447.45 / $1,842.00	Professional		$271.94	$447.45	$1,842.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,132.06	Facility		$500.00	$870.49	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $294.32	Professional		$245.66	$245.66	$294.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $635.38 / $871.71 / $3,219.57	Facility		$635.38	$871.71	$3,219.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.99 / $849.54 / $1,181.43	Professional		$622.99	$849.54	$1,181.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $214.18	Professional		$60.00	$75.00	$214.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $186.88 / $860.29	Facility		$91.17	$186.88	$860.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.89 / $288.37 / $927.31	Facility		$270.89	$288.37	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $446.81 / $572.38	Professional		$307.70	$446.81	$572.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $386.84 / $546.45	Professional		$276.27	$386.84	$546.45
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 $238.49 / $325.83 / $587.75	Professional		$238.49	$325.83	$587.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $198.01 / $207.48	Professional		$120.13	$198.01	$207.48