Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.43 / $2,769.52 / $18,711.00	Facility		$180.43	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $153.22 / $322.20	Professional		$114.62	$153.22	$322.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,230.20 / $1,662.42	Facility		$200.00	$1,230.20	$1,662.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $290.66 / $1,743.04	Professional		$170.48	$290.66	$1,743.04
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 $127.53 / $212.69 / $364.03	Professional		$127.53	$212.69	$364.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.11 / $255.30 / $492.24	Facility		$118.11	$255.30	$492.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $221.06 / $358.12	Professional		$112.53	$221.06	$358.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $201.55 / $348.18	Professional		$34.74	$201.55	$348.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $233.58 / $250.92	Facility		$179.75	$233.58	$250.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $167.16 / $168.63	Facility		$167.16	$167.16	$168.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $280.77 / $345.38	Professional		$174.76	$280.77	$345.38
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 $170.48 / $242.06 / $314.87	Professional		$170.48	$242.06	$314.87
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $666.00 / $5,793.00	Facility		$125.00	$666.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $189.17 / $356.26	Professional		$121.44	$189.17	$356.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $125.37 / $125.37	Professional		$102.42	$125.37	$125.37