Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.13 / $2,291.00 / $18,711.00	Facility		$245.13	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $184.05 / $359.63	Professional		$131.38	$184.05	$359.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $986.58 / $5,068.58 / $12,000.00	Facility		$986.58	$5,068.58	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $204.22 / $314.27 / $1,865.75	Professional		$204.22	$314.27	$1,865.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,046.84	Facility		$466.83	$568.48	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $268.75 / $435.97	Professional		$164.36	$268.75	$435.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $377.51 / $2,097.69	Facility		$177.75	$377.51	$2,097.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $303.81 / $1,379.07	Professional		$163.80	$303.81	$1,379.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $161.94 / $272.69	Professional		$26.61	$161.94	$272.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.45 / $261.32 / $392.35	Facility		$219.45	$261.32	$392.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.48 / $416.80 / $1,167.02	Facility		$178.48	$416.80	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.71 / $302.08 / $364.60	Professional		$191.71	$302.08	$364.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.79 / $262.33 / $347.13	Professional		$210.79	$262.33	$347.13
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 $152.10 / $265.20 / $386.10	Professional		$152.10	$265.20	$386.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $141.97 / $141.97	Professional		$110.98	$141.97	$141.97