Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.67 / $888.46 / $17,100.00	Facility		$370.67	$888.46	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.65 / $291.14 / $598.97	Professional		$200.65	$291.14	$598.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $467.51 / $1,779.82 / $3,936.16	Facility		$467.51	$1,779.82	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $281.30 / $648.71 / $2,529.84	Professional		$281.30	$648.71	$2,529.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $906.00	Facility		$511.44	$777.59	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.92 / $457.38 / $907.91	Professional		$254.92	$457.38	$907.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $296.36 / $494.97 / $827.90	Facility		$296.36	$494.97	$827.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.48 / $507.94 / $871.65	Professional		$298.48	$507.94	$871.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $324.69 / $749.80	Professional		$45.26	$324.69	$749.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.01 / $605.79 / $688.18	Facility		$338.01	$605.79	$688.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $462.06 / $467.51	Facility		$236.51	$462.06	$467.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.06 / $492.22 / $856.97	Professional		$281.06	$492.22	$856.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $471.24 / $791.80	Professional		$270.27	$471.24	$791.80
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 $390.00 / $505.44 / $976.37	Professional		$390.00	$505.44	$976.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $216.55 / $378.74	Professional		$216.55	$216.55	$378.74