Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $5,116.62 / $20,680.40	Facility		$178.03	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $178.03 / $460.34	Professional		$20.00	$178.03	$460.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $350.25 / $1,779.82 / $3,404.60	Facility		$350.25	$1,779.82	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $447.50 / $1,887.75	Professional		$233.77	$447.50	$1,887.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $1,110.00	Facility		$511.44	$777.59	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $399.18 / $551.26 / $1,723.14	Facility		$399.18	$551.26	$1,723.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $551.26 / $935.53	Professional		$393.56	$551.26	$935.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.69 / $459.32 / $597.73	Facility		$339.69	$459.32	$597.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $255.01 / $350.25	Facility		$229.22	$255.01	$350.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.01 / $395.12 / $506.16	Professional		$255.01	$395.12	$506.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,247.64 / $1,778.80 / $3,404.60	Facility		$1,247.64	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.04 / $344.33 / $692.73	Professional		$231.04	$344.33	$692.73
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.31 / $294.64 / $502.05	Professional		$219.31	$294.64	$502.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $156.55 / $156.55	Professional		$156.55	$156.55	$156.55