Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $843.13 / $18,711.00	Facility		$466.17	$843.13	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $352.10 / $775.89	Professional		$220.90	$352.10	$775.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $510.08 / $1,130.00 / $2,499.04	Facility		$510.08	$1,130.00	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $357.97 / $732.86 / $2,771.60	Professional		$357.97	$732.86	$2,771.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $644.92 / $1,110.00	Facility		$334.00	$644.92	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $503.05 / $994.66	Professional		$285.58	$503.05	$994.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $286.05 / $455.42 / $770.62	Facility		$286.05	$455.42	$770.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.92 / $470.33 / $835.72	Professional		$288.92	$470.33	$835.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $593.39 / $1,039.21	Professional		$106.40	$593.39	$1,039.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.20 / $620.63 / $757.10	Facility		$385.20	$620.63	$757.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $510.08 / $516.41	Facility		$150.57	$510.08	$516.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.48 / $602.11 / $946.60	Professional		$360.48	$602.11	$946.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $520.21 / $874.62	Professional		$346.96	$520.21	$874.62
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $414.00 / $5,793.00	Facility		$140.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.92 / $527.35 / $1,092.94	Professional		$397.92	$527.35	$1,092.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.31 / $272.31 / $414.77	Professional		$272.31	$272.31	$414.77