Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.74 / $2,291.00 / $18,711.00	Facility		$192.74	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $138.63 / $286.07	Professional		$98.61	$138.63	$286.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $2,821.24 / $12,000.00	Facility		$638.08	$2,821.24	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $251.97 / $1,175.00	Professional		$155.50	$251.97	$1,175.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,192.33	Facility		$466.83	$568.48	$1,192.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $197.99 / $317.26	Professional		$121.15	$197.99	$317.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $127.67 / $240.30 / $1,090.64	Facility		$127.67	$240.30	$1,090.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $232.36 / $803.35	Professional		$103.88	$232.36	$803.35
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 $167.09 / $204.03 / $216.41	Facility		$167.09	$204.03	$216.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.79 / $430.83 / $666.60	Facility		$141.79	$430.83	$666.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.15 / $238.16 / $287.45	Professional		$151.15	$238.16	$287.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,962.22 / $2,568.87 / $4,913.96	Facility		$1,962.22	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $207.08 / $273.95	Professional		$167.46	$207.08	$273.95
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 $115.71 / $180.08 / $302.20	Professional		$115.71	$180.08	$302.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $109.67 / $109.67	Professional		$86.69	$109.67	$109.67