Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $4,011.00 / $18,711.00	Facility		$311.45	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $210.38 / $451.17	Professional		$153.81	$210.38	$451.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $236.73 / $589.21 / $2,000.00	Facility		$236.73	$589.21	$2,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $392.62 / $2,475.00	Professional		$236.54	$392.62	$2,475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $564.00 / $906.00	Facility		$166.34	$564.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $291.13 / $511.75	Professional		$198.49	$291.13	$511.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $284.16 / $652.39	Facility		$159.87	$284.16	$652.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $304.26 / $499.68	Professional		$159.87	$304.26	$499.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $291.45 / $512.44	Professional		$51.58	$291.45	$512.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.94 / $329.87 / $366.36	Facility		$212.94	$329.87	$366.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $231.94 / $236.73	Facility		$108.88	$231.94	$236.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.11 / $392.62 / $469.88	Professional		$239.11	$392.62	$469.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.38 / $577.67 / $1,085.27	Facility		$432.38	$577.67	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $322.70 / $458.69	Professional		$233.78	$322.70	$458.69
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 $218.45 / $338.08 / $502.05	Professional		$218.45	$338.08	$502.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.79 / $175.79 / $175.79	Professional		$175.79	$175.79	$175.79