Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $465.91 / $13,750.00	Facility		$188.95	$465.91	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $209.23 / $456.40	Professional		$99.08	$209.23	$456.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $603.95 / $7,780.40 / $12,000.00	Facility		$603.95	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $437.64 / $1,626.16	Professional		$174.55	$437.64	$1,626.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,311.26	Facility		$466.83	$568.48	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $278.95 / $620.20	Professional		$134.19	$278.95	$620.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.38 / $279.58 / $2,495.04	Facility		$144.38	$279.58	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $261.20 / $661.13	Professional		$138.51	$261.20	$661.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $325.59 / $552.28	Professional		$54.03	$325.59	$552.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.35 / $394.51 / $459.51	Facility		$237.35	$394.51	$459.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $1,208.98 / $1,915.04	Facility		$305.27	$1,208.98	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $305.27 / $584.88	Professional		$172.20	$305.27	$584.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,956.97 / $15,220.78	Facility		$5,159.74	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $322.32 / $507.35	Professional		$174.55	$322.32	$507.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.42 / $346.80 / $642.21	Professional		$225.42	$346.80	$642.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $182.48 / $246.01	Professional		$111.04	$182.48	$246.01