Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.83 / $1,178.15 / $18,711.00	Facility		$398.83	$1,178.15	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $445.42 / $896.96	Professional		$244.91	$445.42	$896.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $657.64 / $4,554.63 / $11,500.00	Facility		$657.64	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.04 / $486.64 / $2,170.85	Professional		$254.04	$486.64	$2,170.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.91 / $470.74 / $771.24	Professional		$264.91	$470.74	$771.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $362.14 / $681.47 / $1,472.45	Facility		$362.14	$681.47	$1,472.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.82 / $649.44 / $1,154.36	Professional		$354.82	$649.44	$1,154.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $353.46 / $623.30	Professional		$63.18	$353.46	$623.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.66 / $539.24 / $863.63	Facility		$400.66	$539.24	$863.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.35 / $336.58 / $1,613.81	Facility		$336.35	$336.58	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.22 / $392.73 / $689.85	Professional		$247.22	$392.73	$689.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.48 / $376.35 / $737.78	Professional		$223.48	$376.35	$737.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $650.76 / $1,106.07	Professional		$404.25	$650.76	$1,106.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $201.26 / $268.86	Professional		$147.32	$201.26	$268.86