Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.89 / $5,128.00 / $20,680.40	Facility		$311.89	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $311.89 / $374.05	Professional		$100.49	$311.89	$374.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $406.73 / $1,779.82 / $3,404.60	Facility		$406.73	$1,779.82	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $349.59 / $699.06 / $2,460.15	Professional		$349.59	$699.06	$2,460.15
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 / $1,720.77	Facility		$399.18	$551.26	$1,720.77
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 $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.23 / $397.31 / $593.54	Facility		$288.23	$397.31	$593.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $403.17 / $406.73	Facility		$150.57	$403.17	$406.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $677.20 / $834.20	Professional		$412.43	$677.20	$834.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,101.95 / $1,740.33 / $3,404.60	Facility		$1,101.95	$1,740.33	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.53 / $507.30 / $735.85	Professional		$391.53	$507.30	$735.85
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $500.24 / $1,049.80	Professional		$229.01	$500.24	$1,049.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.67 / $255.67 / $404.21	Professional		$255.67	$255.67	$404.21