Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.93 / $4,011.00 / $18,711.00	Facility		$275.93	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $185.83 / $398.26	Professional		$136.55	$185.83	$398.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $1,130.00 / $2,499.04	Facility		$224.92	$1,130.00	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $347.73 / $2,380.89	Professional		$208.36	$347.73	$2,380.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $564.00 / $906.00	Facility		$334.00	$564.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $257.23 / $454.39	Professional		$175.24	$257.23	$454.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $195.75 / $321.04 / $529.96	Facility		$195.75	$321.04	$529.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.69 / $321.89 / $529.96	Professional		$202.69	$321.89	$529.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $241.53 / $422.97	Professional		$42.49	$241.53	$422.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.06 / $291.47 / $443.43	Facility		$217.06	$291.47	$443.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $210.22 / $224.92	Facility		$150.57	$210.22	$224.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $347.73 / $417.27	Professional		$211.77	$347.73	$417.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.93 / $285.81 / $407.33	Professional		$205.93	$285.81	$407.33
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $298.14 / $450.01	Professional		$192.64	$298.14	$450.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.37 / $155.37 / $155.37	Professional		$155.37	$155.37	$155.37