Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.04 / $537.19 / $18,711.00	Facility		$301.04	$537.19	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $229.22 / $537.19	Professional		$150.66	$229.22	$537.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.04 / $9,866.94 / $21,924.91	Facility		$1,139.04	$9,866.94	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $455.20 / $1,672.72	Professional		$254.13	$455.20	$1,672.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $6,910.09	Facility		$714.97	$918.00	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $359.84 / $648.80	Professional		$197.20	$359.84	$648.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $201.16 / $374.90 / $5,194.27	Facility		$201.16	$374.90	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $355.34 / $724.31	Professional		$198.09	$355.34	$724.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $351.92 / $609.03	Professional		$58.37	$351.92	$609.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.04 / $399.32 / $454.26	Facility		$279.04	$399.32	$454.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.77 / $904.15 / $3,953.90	Facility		$305.77	$904.15	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.75 / $401.75 / $586.45	Professional		$264.75	$401.75	$586.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $374.62 / $521.92	Professional		$269.06	$374.62	$521.92
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 $211.68 / $346.26 / $643.16	Professional		$211.68	$346.26	$643.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $186.07 / $252.15	Professional		$179.54	$186.07	$252.15