Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.64 / $4,011.00 / $18,711.00	Facility		$482.64	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $338.95 / $741.56	Professional		$246.56	$338.95	$741.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $370.20 / $597.44 / $2,332.01	Professional		$370.20	$597.44	$2,332.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $470.59 / $802.27	Professional		$275.27	$470.59	$802.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $274.92 / $560.71 / $1,741.30	Facility		$274.92	$560.71	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $548.40 / $1,499.41	Professional		$256.89	$548.40	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $243.32 / $542.15	Professional		$50.85	$243.32	$542.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $370.44 / $496.47 / $527.29	Facility		$370.44	$496.47	$527.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $359.66 / $1,613.81	Facility		$347.00	$359.66	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $572.15 / $713.89	Professional		$398.71	$572.15	$713.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $353.89 / $511.92 / $682.88	Professional		$353.89	$511.92	$682.88
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 $306.50 / $417.56 / $737.19	Professional		$306.50	$417.56	$737.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $217.81 / $288.76	Professional		$217.81	$217.81	$288.76