Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.56 / $5,128.00 / $20,680.40	Facility		$413.56	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $280.72 / $621.88	Professional		$207.40	$280.72	$621.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $308.93 / $2,571.28 / $26,542.00	Facility		$308.93	$2,571.28	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $322.93 / $521.54 / $1,960.28	Professional		$322.93	$521.54	$1,960.28
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 $241.68 / $406.84 / $676.89	Professional		$241.68	$406.84	$676.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $219.52 / $451.18 / $571.95	Facility		$219.52	$451.18	$571.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.10 / $443.17 / $578.41	Professional		$219.10	$443.17	$578.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $344.90 / $603.66	Professional		$60.80	$344.90	$603.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.85 / $435.66 / $452.92	Facility		$325.85	$435.66	$452.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.06 / $303.06 / $308.93	Facility		$303.06	$303.06	$308.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.33 / $495.06 / $613.20	Professional		$347.33	$495.06	$613.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,773.14 / $4,773.14 / $6,013.44	Facility		$4,773.14	$4,773.14	$6,013.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $439.72 / $585.41	Professional		$309.08	$439.72	$585.41
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.11 / $381.07 / $652.69	Professional		$281.11	$381.07	$652.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $187.45 / $237.13	Professional		$187.45	$187.45	$237.13