Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.59 / $2,769.52 / $8,961.92	Facility		$104.59	$2,769.52	$8,961.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $228.27 / $629.94	Professional		$56.10	$228.27	$629.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $4,591.92 / $11,500.00	Facility		$440.84	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $406.54 / $1,617.12	Professional		$97.86	$406.54	$1,617.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $206.21 / $621.23	Professional		$75.62	$206.21	$621.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $286.47 / $1,258.98	Facility		$75.68	$286.47	$1,258.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $240.50 / $811.75	Professional		$75.68	$240.50	$811.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $304.20 / $539.11	Professional		$53.41	$304.20	$539.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.19 / $420.11 / $477.04	Facility		$143.19	$420.11	$477.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $312.57 / $1,323.75	Facility		$299.33	$312.57	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $187.91 / $561.78	Professional		$94.72	$187.91	$561.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $270.95 / $540.24	Professional		$89.03	$270.95	$540.24
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $375.26 / $650.75	Professional		$277.16	$375.26	$650.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $176.13 / $244.92	Professional		$60.63	$176.13	$244.92