Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.21 / $2,659.00 / $14,462.15	Facility		$175.21	$2,659.00	$14,462.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $248.43 / $679.18	Professional		$128.28	$248.43	$679.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $9,101.25 / $16,394.00	Facility		$803.50	$9,101.25	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $371.78 / $1,658.00	Professional		$170.08	$371.78	$1,658.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $283.81 / $613.48	Professional		$158.40	$283.81	$613.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $166.05 / $331.97 / $2,478.65	Facility		$166.05	$331.97	$2,478.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $325.35 / $1,432.97	Professional		$166.05	$325.35	$1,432.97
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 $259.29 / $424.95 / $503.01	Facility		$259.29	$424.95	$503.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.72 / $297.95 / $2,412.73	Facility		$296.72	$297.95	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $297.95 / $550.58	Professional		$168.58	$297.95	$550.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $302.61 / $538.24	Professional		$152.40	$302.61	$538.24
United Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,681.00 / $6,857.00	Facility		$555.00	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.18 / $390.42 / $665.51	Professional		$292.18	$390.42	$665.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $179.17 / $244.28	Professional		$101.03	$179.17	$244.28