Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.27 / $1,283.88 / $18,711.00	Facility		$640.27	$1,283.88	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $443.90 / $1,137.56	Professional		$278.13	$443.90	$1,137.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $670.93 / $1,130.00 / $2,499.04	Facility		$670.93	$1,130.00	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $492.50 / $998.70 / $3,745.52	Professional		$492.50	$998.70	$3,745.52
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 $440.43 / $703.82 / $1,343.36	Professional		$440.43	$703.82	$1,343.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $360.01 / $715.65 / $1,141.95	Facility		$360.01	$715.65	$1,141.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.93 / $735.26 / $1,203.38	Professional		$441.93	$735.26	$1,203.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $796.83 / $1,388.52	Professional		$142.57	$796.83	$1,388.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $557.16 / $888.18 / $1,023.76	Facility		$557.16	$888.18	$1,023.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $688.56 / $698.30	Facility		$150.57	$688.56	$698.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.96 / $822.65 / $1,280.01	Professional		$492.96	$822.65	$1,280.01
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 $474.47 / $702.24 / $1,182.67	Professional		$474.47	$702.24	$1,182.67
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 $581.60 / $771.37 / $1,475.30	Professional		$581.60	$771.37	$1,475.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.38 / $371.38 / $559.22	Professional		$371.38	$371.38	$559.22