Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.06 / $4,547.99 / $10,809.00	Facility		$235.06	$4,547.99	$10,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $388.22 / $813.41	Professional		$104.59	$388.22	$813.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $612.24 / $4,594.55 / $16,394.00	Facility		$612.24	$4,594.55	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.53 / $687.35 / $5,520.83	Professional		$216.53	$687.35	$5,520.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $416.98 / $1,125.10	Professional		$143.46	$416.98	$1,125.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $651.69 / $1,436.99	Facility		$141.68	$651.69	$1,436.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $564.27 / $1,335.96	Professional		$141.68	$564.27	$1,335.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $506.54 / $898.89	Professional		$89.08	$506.54	$898.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.30 / $733.53 / $992.94	Facility		$216.30	$733.53	$992.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $517.32 / $1,323.75	Facility		$440.84	$517.32	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.61 / $423.63 / $967.69	Professional		$211.61	$423.63	$967.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $465.35 / $933.67	Professional		$200.71	$465.35	$933.67
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 $493.62 / $818.62 / $1,167.96	Professional		$493.62	$818.62	$1,167.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $305.88 / $420.25	Professional		$134.94	$305.88	$420.25