Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.85 / $1,478.69 / $12,214.00	Facility		$153.85	$1,478.69	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $230.32 / $658.26	Professional		$77.29	$230.32	$658.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $774.08 / $1,949.61 / $3,814.01	Facility		$774.08	$1,949.61	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $661.46 / $2,669.68	Professional		$119.04	$661.46	$2,669.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $274.41 / $1,050.71	Professional		$108.64	$274.41	$1,050.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $515.22 / $1,305.78	Facility		$121.00	$515.22	$1,305.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $459.73 / $1,222.43	Professional		$122.26	$459.73	$1,222.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $551.86 / $986.14	Professional		$97.39	$551.86	$986.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $692.23 / $1,003.96	Facility		$142.50	$692.23	$1,003.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.02 / $494.02 / $515.51	Facility		$494.02	$494.02	$515.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $274.64 / $980.58	Professional		$118.61	$274.64	$980.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,398.90 / $1,992.71 / $3,814.01	Facility		$1,398.90	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $272.50 / $923.79	Professional		$114.58	$272.50	$923.79
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 $526.44 / $728.64 / $1,222.73	Professional		$526.44	$728.64	$1,222.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $86.24 / $403.12	Professional		$86.24	$86.24	$403.12