Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.24 / $1,710.00 / $14,464.32	Facility		$271.24	$1,710.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $276.50 / $3,419.04	Professional		$195.02	$276.50	$3,419.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $292.48 / $4,395.06	Facility		$55.00	$292.48	$4,395.06
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $238.68 / $778.71 / $778.71	Facility	52	$238.68	$778.71	$778.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $29.84 / $97.34 / $97.34	Facility	AS	$29.84	$97.34	$97.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $292.91 / $497.19 / $1,852.20	Professional		$292.91	$497.19	$1,852.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $2,639.00 / $2,639.00	Facility		$644.92	$2,639.00	$2,639.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.12 / $372.27 / $641.17	Professional		$246.12	$372.27	$641.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.79 / $364.55 / $558.23	Facility		$275.79	$364.55	$558.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $431.03 / $586.53	Professional		$275.79	$431.03	$586.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $343.34 / $600.92	Professional		$60.10	$343.34	$600.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $317.08 / $413.11 / $431.12	Facility		$317.08	$413.11	$431.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $287.20 / $292.48	Facility		$287.20	$287.20	$292.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $486.98 / $580.54	Professional		$296.58	$486.98	$580.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,488.56 / $3,488.56 / $4,395.06	Facility		$3,488.56	$3,488.56	$4,395.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.48 / $400.26 / $557.61	Professional		$289.48	$400.26	$557.61
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 $270.56 / $314.00 / $617.92	Professional		$270.56	$314.00	$617.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $224.55 / $224.55	Professional		$224.55	$224.55	$224.55