Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.45 / $2,291.00 / $18,711.00	Facility		$497.45	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.94 / $359.85 / $727.07	Professional		$267.94	$359.85	$727.07
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 $407.93 / $636.32 / $2,303.78	Professional		$407.93	$636.32	$2,303.78
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 $300.61 / $507.03 / $817.39	Professional		$300.61	$507.03	$817.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $336.84 / $667.79 / $2,882.99	Facility		$336.84	$667.79	$2,882.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $585.07 / $1,189.44	Professional		$268.14	$585.07	$1,189.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.32 / $472.96 / $801.54	Professional		$78.32	$472.96	$801.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $404.74 / $528.17 / $544.00	Facility		$404.74	$528.17	$544.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.12 / $420.93 / $874.44	Facility		$365.12	$420.93	$874.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $614.04 / $741.15	Professional		$388.22	$614.04	$741.15
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 $431.21 / $532.49 / $701.46	Professional		$431.21	$532.49	$701.46
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 $301.26 / $477.31 / $811.84	Professional		$301.26	$477.31	$811.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.45 / $285.43 / $285.43	Professional		$224.45	$285.43	$285.43