Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.41 / $486.72 / $18,711.00	Facility		$192.41	$486.72	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $159.40 / $404.86	Professional		$94.99	$159.40	$404.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.20 / $482.93 / $26,542.00	Facility		$234.20	$482.93	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $302.74 / $1,925.20	Professional		$149.46	$302.74	$1,925.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $241.59 / $460.84	Professional		$134.11	$241.59	$460.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $253.10 / $428.33	Facility		$153.50	$253.10	$428.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $256.50 / $442.67	Professional		$156.91	$256.50	$442.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $250.50 / $441.36	Professional		$45.17	$250.50	$441.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $317.91 / $351.75	Facility		$208.24	$317.91	$351.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.20 / $234.20 / $239.01	Facility		$234.20	$234.20	$239.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $259.27 / $438.12	Professional		$150.63	$259.27	$438.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $238.85 / $404.80	Professional		$142.76	$238.85	$404.80
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 $217.56 / $272.60 / $511.90	Professional		$217.56	$272.60	$511.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $111.79 / $190.33	Professional		$111.79	$111.79	$190.33