Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.25 / $2,291.00 / $18,711.00	Facility		$418.25	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.43 / $298.89 / $614.46	Professional		$225.43	$298.89	$614.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,423.25 / $3,421.76	Facility		$55.00	$2,423.25	$3,421.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $534.05 / $1,939.65	Professional		$333.93	$534.05	$1,939.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,159.36	Facility		$500.00	$870.49	$1,159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $430.08 / $688.54	Professional		$262.47	$430.08	$688.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $283.08 / $561.87 / $2,487.46	Facility		$283.08	$561.87	$2,487.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $492.27 / $919.80	Professional		$225.60	$492.27	$919.80
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 $341.53 / $444.92 / $458.32	Facility		$341.53	$444.92	$458.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.77 / $420.93 / $671.06	Facility		$305.77	$420.93	$671.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.41 / $515.89 / $622.67	Professional		$327.41	$515.89	$622.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,590.05 / $4,954.47	Facility		$1,889.92	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $361.13 / $448.34 / $590.61	Professional		$361.13	$448.34	$590.61
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 $260.52 / $400.80 / $661.32	Professional		$260.52	$400.80	$661.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $240.68 / $240.68	Professional		$189.10	$240.68	$240.68