Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $774.46 / $17,100.00	Facility		$302.92	$774.46	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $313.85 / $738.64	Professional		$163.16	$313.85	$738.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $766.04 / $4,594.55 / $11,500.00	Facility		$766.04	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $284.10 / $577.41 / $2,246.56	Professional		$284.10	$577.41	$2,246.56
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 $204.44 / $399.39 / $862.81	Professional		$204.44	$399.39	$862.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $196.08 / $396.80 / $1,258.98	Facility		$196.08	$396.80	$1,258.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.08 / $392.29 / $995.04	Professional		$196.08	$392.29	$995.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $291.69 / $674.96	Professional		$44.80	$291.69	$674.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.27 / $544.71 / $613.72	Facility		$302.27	$544.71	$613.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.95 / $418.61 / $1,323.75	Facility		$414.95	$418.61	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $430.89 / $765.15	Professional		$270.18	$430.89	$765.15
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 $259.19 / $423.19 / $732.98	Professional		$259.19	$423.19	$732.98
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 $339.50 / $470.10 / $836.93	Professional		$339.50	$470.10	$836.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $248.74 / $340.87	Professional		$180.26	$248.74	$340.87