Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $2,769.52 / $18,711.00	Facility		$83.30	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $57.69 / $111.84	Professional		$39.10	$57.69	$111.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $1,672.95 / $3,404.60	Facility		$144.47	$1,672.95	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $111.41 / $622.48	Professional		$63.18	$111.41	$622.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $76.95 / $132.99	Professional		$52.34	$76.95	$132.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $92.76 / $135.00	Facility		$57.85	$92.76	$135.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $91.31 / $123.48	Professional		$57.85	$91.31	$123.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $50.71 / $90.24	Professional		$8.91	$50.71	$90.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $85.68 / $93.80	Facility		$65.41	$85.68	$93.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $62.51	Facility		$60.78	$60.78	$62.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $102.94 / $120.64	Professional		$62.90	$102.94	$120.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $85.68 / $117.77	Professional		$63.01	$85.68	$117.77
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 $56.17 / $66.66 / $132.43	Professional		$56.17	$66.66	$132.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $46.02 / $46.02	Professional		$46.02	$46.02	$46.02