Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $2,769.52 / $20,680.40	Facility		$177.60	$2,769.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $118.71 / $277.45	Professional		$96.38	$118.71	$277.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $1,031.89 / $1,662.42	Facility		$170.00	$1,031.89	$1,662.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $218.38 / $802.13	Professional		$132.13	$218.38	$802.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.49 / $870.49 / $870.49	Facility		$870.49	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $173.99 / $290.37	Professional		$105.88	$173.99	$290.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.30 / $202.76 / $405.37	Facility		$102.30	$202.76	$405.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $165.88 / $269.17	Professional		$96.72	$165.88	$269.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $160.18 / $274.67	Professional		$27.61	$160.18	$274.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.66 / $188.03 / $207.03	Facility		$157.66	$188.03	$207.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $129.56 / $131.16	Facility		$129.56	$129.56	$131.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $218.78 / $265.82	Professional		$135.00	$218.78	$265.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $897.66 / $1,230.20 / $2,353.23	Facility		$897.66	$1,230.20	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $187.62 / $246.53	Professional		$132.13	$187.62	$246.53
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 $105.74 / $163.76 / $277.11	Professional		$105.74	$163.76	$277.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $100.03 / $100.03	Professional		$79.23	$100.03	$100.03