Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.11 / $1,373.50 / $10,962.00	Facility		$378.11	$1,373.50	$10,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.88 / $288.27 / $741.26	Professional		$193.88	$288.27	$741.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.69 / $4,591.92 / $8,969.59	Facility		$737.69	$4,591.92	$8,969.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $322.69 / $613.91 / $2,304.08	Professional		$322.69	$613.91	$2,304.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $1,677.65	Facility		$564.00	$906.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $456.17 / $819.48	Professional		$280.55	$456.17	$819.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $512.90 / $1,130.32	Facility		$317.00	$512.90	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.84 / $525.22 / $969.50	Professional		$327.84	$525.22	$969.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $493.30 / $863.93	Professional		$87.59	$493.30	$863.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.86 / $641.01 / $1,267.71	Facility		$436.86	$641.01	$1,267.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.31 / $427.30 / $737.69	Facility		$416.31	$427.30	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $529.13 / $783.25	Professional		$316.80	$529.13	$783.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $304.92 / $449.13 / $725.21	Professional		$304.92	$449.13	$725.21
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 $386.80 / $482.42 / $887.03	Professional		$386.80	$482.42	$887.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.51 / $234.51 / $336.33	Professional		$234.51	$234.51	$336.33