Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.11 / $2,769.52 / $18,711.00	Facility		$367.11	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $274.27 / $535.44	Professional		$178.04	$274.27	$535.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,451.09 / $4,321.81 / $11,500.00	Facility		$1,451.09	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $274.66 / $432.75 / $8,054.09	Professional		$274.66	$432.75	$8,054.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,557.08	Facility		$466.83	$568.48	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.87 / $360.71 / $616.22	Professional		$203.87	$360.71	$616.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $397.46 / $1,381.54	Facility		$189.44	$397.46	$1,381.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $385.70 / $1,175.83	Professional		$183.52	$385.70	$1,175.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $192.04 / $436.98	Professional		$36.31	$192.04	$436.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $361.13 / $402.67	Facility		$253.82	$361.13	$402.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.48 / $274.66 / $1,144.67	Facility		$260.48	$274.66	$1,144.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.11 / $436.93 / $545.16	Professional		$304.11	$436.93	$545.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $390.94 / $520.47	Professional		$265.64	$390.94	$520.47
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 $218.50 / $312.62 / $562.39	Professional		$218.50	$312.62	$562.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.02 / $167.02 / $224.55	Professional		$167.02	$167.02	$224.55