Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.21 / $849.33 / $18,711.00	Facility		$408.21	$849.33	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.99 / $408.21 / $850.34	Professional		$285.99	$408.21	$850.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.76 / $4,554.63 / $11,500.00	Facility		$1,329.76	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $684.50 / $2,719.80	Professional		$427.35	$684.50	$2,719.80
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 $320.52 / $562.82 / $943.86	Professional		$320.52	$562.82	$943.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $312.29 / $624.40 / $1,422.51	Facility		$312.29	$624.40	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.14 / $607.54 / $998.40	Professional		$308.14	$607.54	$998.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $282.42 / $630.99	Professional		$57.18	$282.42	$630.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.71 / $609.03 / $639.85	Facility		$446.71	$609.03	$639.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.03 / $436.44 / $1,613.81	Facility		$419.03	$436.44	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.44 / $641.26 / $800.00	Professional		$436.44	$641.26	$800.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $586.12 / $787.68	Professional		$409.52	$586.12	$787.68
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 $390.87 / $516.09 / $904.67	Professional		$390.87	$516.09	$904.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $309.45 / $351.68	Professional		$266.39	$309.45	$351.68