Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.12 / $4,497.00 / $18,711.00	Facility		$159.12	$4,497.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $159.12 / $494.40	Professional		$118.14	$159.12	$494.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $2,000.00	Facility		$55.00	$1,300.00	$2,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $278.63 / $1,634.59	Professional		$173.50	$278.63	$1,634.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $225.80 / $377.50	Professional		$132.71	$225.80	$377.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $264.62 / $351.50	Facility		$121.52	$264.62	$351.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $256.58 / $349.00	Professional		$121.52	$256.58	$349.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $60.00	Professional		$50.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $242.17 / $250.58	Facility		$205.70	$242.17	$250.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $167.16 / $170.46	Facility		$167.16	$167.16	$170.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $273.06 / $338.35	Professional		$191.65	$273.06	$338.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $243.28 / $323.88	Professional		$170.48	$243.28	$323.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,297.00 / $11,941.00	Facility		$1,950.00	$3,297.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $202.12 / $360.13	Professional		$149.40	$202.12	$360.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $162.10 / $162.10	Professional		$162.10	$162.10	$162.10