Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $5,128.00 / $22,024.00	Facility		$171.99	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $136.66 / $187.22	Professional		$111.71	$136.66	$187.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,728.65 / $5,709.61	Facility		$55.00	$3,728.65	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $293.52 / $1,076.55	Professional		$175.46	$293.52	$1,076.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,557.08	Facility		$500.00	$870.49	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $233.48 / $382.08	Professional		$134.43	$233.48	$382.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $266.32 / $1,424.27	Facility		$137.25	$266.32	$1,424.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.02 / $249.39 / $1,049.08	Professional		$117.02	$249.39	$1,049.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $236.85 / $247.23	Facility		$162.00	$236.85	$247.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.70 / $541.04 / $916.41	Facility		$166.70	$541.04	$916.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $281.52 / $339.81	Professional		$177.71	$281.52	$339.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.88 / $242.58 / $319.55	Professional		$196.88	$242.58	$319.55
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $203.57 / $352.57	Professional		$133.00	$203.57	$352.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $141.91 / $141.91	Professional		$141.91	$141.91	$141.91