Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $355.58 / $13,750.00	Facility		$132.86	$355.58	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $172.57 / $370.23	Professional		$71.68	$172.57	$370.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $3,269.98 / $12,000.00	Facility		$423.40	$3,269.98	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $332.87 / $1,336.32	Professional		$116.32	$332.87	$1,336.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,499.24	Facility		$466.83	$568.48	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $216.16 / $508.81	Professional		$95.68	$216.16	$508.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $219.37 / $1,059.06	Facility		$104.00	$219.37	$1,059.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $194.26 / $544.51	Professional		$99.76	$194.26	$544.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $274.13 / $466.30	Professional		$44.69	$274.13	$466.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $315.20 / $368.09	Facility		$163.21	$315.20	$368.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.61 / $552.13 / $929.09	Facility		$248.61	$552.13	$929.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $242.39 / $471.86	Professional		$119.60	$242.39	$471.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $236.99 / $413.17	Professional		$121.37	$236.99	$413.17
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 $181.03 / $302.66 / $529.09	Professional		$181.03	$302.66	$529.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $147.15 / $201.38	Professional		$77.86	$147.15	$201.38