Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.21 / $11,522.02 / $22,024.00	Facility		$502.21	$11,522.02	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.46 / $502.21 / $664.57	Professional		$415.46	$502.21	$664.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $227.27 / $676.07 / $1,284.52	Facility		$227.27	$676.07	$1,284.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $624.16 / $1,063.40 / $3,951.98	Professional		$624.16	$1,063.40	$3,951.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $267.12 / $320.04	Professional		$267.12	$267.12	$320.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $209.20 / $503.34	Facility		$200.79	$209.20	$503.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,385.04 / $1,385.04 / $1,385.04	Professional		$1,385.04	$1,385.04	$1,385.04
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 $544.30 / $774.31 / $907.18	Facility		$544.30	$774.31	$907.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $618.78	Facility		$612.00	$612.00	$618.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.63 / $1,010.21 / $1,278.59	Professional		$693.63	$1,010.21	$1,278.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $227.27 / $676.07 / $901.42	Facility		$227.27	$676.07	$901.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $624.16 / $868.73 / $1,198.97	Professional		$624.16	$868.73	$1,198.97
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.60 / $945.40 / $1,569.69	Professional		$684.60	$945.40	$1,569.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.48 / $510.48 / $510.48	Professional		$510.48	$510.48	$510.48