Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.43 / $797.83 / $13,750.00	Facility		$378.43	$797.83	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $289.99 / $587.83	Professional		$181.83	$289.99	$587.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.69 / $4,492.60 / $10,161.06	Facility		$737.69	$4,492.60	$10,161.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $318.24 / $601.25 / $2,111.84	Professional		$318.24	$601.25	$2,111.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $1,677.65	Facility		$421.10	$731.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $432.48 / $763.28	Professional		$279.38	$432.48	$763.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $292.05 / $480.26 / $1,130.32	Facility		$292.05	$480.26	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $486.87 / $900.19	Professional		$314.00	$486.87	$900.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.85 / $380.12 / $672.48	Professional		$66.85	$380.12	$672.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.02 / $571.88 / $1,267.71	Facility		$391.02	$571.88	$1,267.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.33 / $390.28 / $737.69	Facility		$382.33	$390.28	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.13 / $529.33 / $715.40	Professional		$319.13	$529.33	$715.40
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 $306.31 / $441.68 / $695.34	Professional		$306.31	$441.68	$695.34
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 $339.77 / $420.67 / $806.54	Professional		$339.77	$420.67	$806.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.94 / $247.94 / $314.23	Professional		$247.94	$247.94	$314.23