Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.60 / $2,769.52 / $20,680.40	Facility		$309.60	$2,769.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $200.28 / $484.99	Professional		$109.22	$200.28	$484.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,230.20 / $1,662.42	Facility		$300.00	$1,230.20	$1,662.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $366.99 / $1,705.59	Professional		$204.91	$366.99	$1,705.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.29 / $561.29 / $568.48	Facility		$561.29	$561.29	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $267.95 / $509.06	Professional		$137.38	$267.95	$509.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.72 / $261.52 / $502.50	Facility		$150.72	$261.52	$502.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $254.53 / $459.62	Professional		$145.60	$254.53	$459.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $264.80 / $455.77	Professional		$46.75	$264.80	$455.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.70 / $327.64 / $361.80	Facility		$207.70	$327.64	$361.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.86 / $227.86 / $229.87	Facility		$227.86	$227.86	$229.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $380.45 / $465.19	Professional		$236.80	$380.45	$465.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,230.20 / $2,353.23	Facility		$797.73	$1,230.20	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $327.20 / $429.20	Professional		$232.39	$327.20	$429.20
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $691.00 / $5,793.00	Facility		$125.00	$691.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $241.57 / $480.67	Professional		$147.19	$241.57	$480.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $174.15 / $174.15	Professional		$137.76	$174.15	$174.15