Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.33 / $598.00 / $13,809.00	Facility		$304.33	$598.00	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $253.60 / $594.75	Professional		$153.43	$253.60	$594.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $8,552.21 / $16,394.00	Facility		$1,140.42	$8,552.21	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $601.82 / $2,310.48	Professional		$254.13	$601.82	$2,310.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $403.44 / $880.44	Professional		$201.12	$403.44	$880.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $389.18 / $2,494.19	Facility		$207.10	$389.18	$2,494.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $380.78 / $936.00	Professional		$202.44	$380.78	$936.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $265.53 / $693.78	Professional		$39.46	$265.53	$693.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.49 / $505.71 / $628.46	Facility		$299.49	$505.71	$628.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $904.15 / $1,781.59	Facility		$425.37	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $447.08 / $786.82	Professional		$270.20	$447.08	$786.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.08 / $464.51 / $712.41	Professional		$270.08	$464.51	$712.41
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 $290.16 / $490.44 / $896.81	Professional		$290.16	$490.44	$896.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $253.98 / $350.47	Professional		$183.94	$253.98	$350.47