Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.05 / $746.45 / $17,930.00	Facility		$314.05	$746.45	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $381.64 / $820.15	Professional		$172.84	$381.64	$820.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.90 / $8,052.47 / $15,403.47	Facility		$1,200.90	$8,052.47	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $297.38 / $596.00 / $2,301.28	Professional		$297.38	$596.00	$2,301.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,846.84	Facility		$466.83	$568.48	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.88 / $416.34 / $882.79	Professional		$214.88	$416.34	$882.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $383.54 / $2,135.10	Facility		$188.76	$383.54	$2,135.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $383.54 / $1,235.09	Professional		$188.76	$383.54	$1,235.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $267.98 / $705.61	Professional		$37.39	$267.98	$705.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.87 / $534.66 / $629.79	Facility		$308.87	$534.66	$629.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.91 / $429.58 / $2,218.36	Facility		$424.91	$429.58	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $442.18 / $783.49	Professional		$283.80	$442.18	$783.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $271.30 / $433.36 / $770.80	Professional		$271.30	$433.36	$770.80
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 $331.09 / $491.68 / $893.00	Professional		$331.09	$491.68	$893.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $257.57 / $352.56	Professional		$189.19	$257.57	$352.56