Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $3,810.00 / $18,711.00	Facility		$279.86	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $196.39 / $408.40	Professional		$142.41	$196.39	$408.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,559.30 / $10,430.95	Facility		$55.00	$5,559.30	$10,430.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $352.67 / $1,280.93	Professional		$228.05	$352.67	$1,280.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $2,659.79	Facility		$500.00	$870.49	$2,659.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $283.60 / $453.13	Professional		$177.46	$283.60	$453.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $369.89 / $3,938.26	Facility		$187.74	$369.89	$3,938.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.31 / $324.07 / $2,110.19	Professional		$148.31	$324.07	$2,110.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $216.27 / $363.08	Professional		$35.06	$216.27	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.91 / $294.55 / $305.32	Facility		$224.91	$294.55	$305.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.76 / $1,439.64 / $2,328.38	Facility		$204.76	$1,439.64	$2,328.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $346.21 / $417.87	Professional		$217.01	$346.21	$417.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,118.93 / $5,815.71 / $10,527.13	Facility		$4,118.93	$5,815.71	$10,527.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.82 / $295.83 / $395.52	Professional		$241.82	$295.83	$395.52
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 $168.88 / $272.02 / $439.31	Professional		$168.88	$272.02	$439.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $158.69 / $158.69	Professional		$125.33	$158.69	$158.69