Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.63 / $2,323.00 / $14,108.40	Facility		$328.63	$2,323.00	$14,108.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $229.44 / $504.59	Professional		$149.15	$229.44	$504.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $835.40 / $7,873.79 / $15,720.23	Facility		$835.40	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $513.13 / $1,933.04	Professional		$253.33	$513.13	$1,933.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,846.84	Facility		$564.00	$906.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.65 / $368.56 / $698.52	Professional		$227.65	$368.56	$698.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.01 / $391.18 / $1,918.07	Facility		$239.01	$391.18	$1,918.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $405.95 / $1,461.44	Professional		$245.00	$405.95	$1,461.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $267.91 / $592.06	Professional		$44.73	$267.91	$592.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.15 / $550.79 / $2,079.32	Facility		$339.15	$550.79	$2,079.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.96 / $361.94 / $1,241.82	Facility		$356.96	$361.94	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $424.41 / $663.46	Professional		$253.33	$424.41	$663.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.01 / $364.06 / $613.01	Professional		$243.01	$364.06	$613.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $379.59 / $763.72	Professional		$296.27	$379.59	$763.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $195.34 / $292.81	Professional		$195.34	$195.34	$292.81