Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.47 / $2,291.00 / $18,711.00	Facility		$571.47	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.29 / $536.83 / $1,078.96	Professional		$377.29	$536.83	$1,078.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $664.85 / $2,919.30	Facility		$55.00	$664.85	$2,919.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $593.05 / $982.11 / $3,587.25	Professional		$593.05	$982.11	$3,587.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.48 / $294.02 / $294.02	Facility		$176.48	$294.02	$294.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.79 / $748.75 / $1,265.43	Professional		$417.79	$748.75	$1,265.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $676.77 / $1,036.33	Facility		$216.07	$676.77	$1,036.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.93 / $695.20 / $1,045.96	Professional		$268.93	$695.20	$1,045.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $390.36 / $1,007.29	Professional		$79.43	$390.36	$1,007.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.71 / $786.66 / $835.49	Facility		$571.71	$786.66	$835.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $238.32 / $569.88	Facility		$112.64	$238.32	$569.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.59 / $941.99 / $1,131.15	Professional		$586.59	$941.99	$1,131.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.87 / $691.81 / $1,324.12	Facility		$448.87	$691.81	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $819.68 / $1,064.06	Professional		$653.24	$819.68	$1,064.06
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.50 / $683.11 / $1,178.28	Professional		$444.50	$683.11	$1,178.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.53 / $449.20 / $449.20	Professional		$344.53	$449.20	$449.20