Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.42 / $3,016.00 / $10,122.46	Facility		$169.42	$3,016.00	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $135.76 / $314.50	Professional		$80.92	$135.76	$314.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $215.18 / $4,844.06 / $9,885.68	Facility		$215.18	$4,844.06	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $260.52 / $3,593.56	Professional		$131.51	$260.52	$3,593.56
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $251.46 / $283.47 / $283.47	Professional	50	$251.46	$283.47	$283.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.58 / $644.92 / $1,110.00	Facility		$138.58	$644.92	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $204.91 / $421.84	Professional		$117.33	$204.91	$421.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $217.92 / $409.69	Facility		$133.19	$217.92	$409.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $226.52 / $396.81	Professional		$133.50	$226.52	$396.81
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 $182.25 / $283.41 / $319.58	Facility		$182.25	$283.41	$319.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $215.18 / $759.83	Facility		$106.73	$215.18	$759.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $229.21 / $399.58	Professional		$131.52	$229.21	$399.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $219.45 / $369.20	Professional		$126.59	$219.45	$369.20
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $239.72 / $457.66	Professional		$188.16	$239.72	$457.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $97.88 / $175.23	Professional		$97.88	$97.88	$175.23