Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.74 / $1,733.00 / $9,703.00	Facility		$150.74	$1,733.00	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $176.21 / $469.07	Professional		$75.79	$176.21	$469.07
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 $148.40 / $424.05 / $1,717.20	Professional		$148.40	$424.05	$1,717.20
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 $96.24 / $227.62 / $654.26	Professional		$96.24	$227.62	$654.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.84 / $216.00 / $1,258.98	Facility		$92.84	$216.00	$1,258.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $208.25 / $769.68	Professional		$92.84	$208.25	$769.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $354.08 / $625.40	Professional		$62.76	$354.08	$625.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $373.81 / $471.68	Facility		$168.97	$373.81	$471.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.70 / $325.25 / $1,323.75	Facility		$316.70	$325.25	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $264.20 / $590.95	Professional		$143.85	$264.20	$590.95
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 $135.38 / $281.95 / $571.59	Professional		$135.38	$281.95	$571.59
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $389.95 / $696.96	Professional		$230.40	$389.95	$696.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $187.73 / $257.00	Professional		$90.86	$187.73	$257.00