Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.48 / $2,291.00 / $18,711.00	Facility		$414.48	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $296.29 / $608.94	Professional		$223.44	$296.29	$608.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,133.60 / $4,418.06	Facility		$55.00	$3,133.60	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $345.21 / $531.96 / $1,923.15	Professional		$345.21	$531.96	$1,923.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,499.24	Facility		$500.00	$870.49	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.88 / $426.25 / $682.39	Professional		$259.88	$426.25	$682.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $280.56 / $556.90 / $2,882.99	Facility		$280.56	$556.90	$2,882.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $487.92 / $1,189.44	Professional		$223.72	$487.92	$1,189.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $363.88 / $615.73	Professional		$60.62	$363.88	$615.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.10 / $440.92 / $453.56	Facility		$338.10	$440.92	$453.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.06 / $420.93 / $874.44	Facility		$303.06	$420.93	$874.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.30 / $511.32 / $617.16	Professional		$324.30	$511.32	$617.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,344.18 / $6,397.05	Facility		$2,298.89	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $444.40 / $587.25	Professional		$357.92	$444.40	$587.25
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 $258.18 / $400.21 / $655.37	Professional		$258.18	$400.21	$655.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $238.54 / $238.54	Professional		$187.45	$238.54	$238.54