Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $2,291.00 / $18,711.00	Facility		$186.46	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $133.08 / $276.87	Professional		$94.84	$133.08	$276.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $12,000.00	Facility		$1,790.56	$7,929.30	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $245.34 / $912.15	Professional		$149.88	$245.34	$912.15
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 $114.16 / $193.35 / $316.16	Professional		$114.16	$193.35	$316.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $226.95 / $3,103.41	Facility		$113.53	$226.95	$3,103.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $214.60 / $2,230.98	Professional		$99.51	$214.60	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $161.94 / $272.69	Professional		$26.61	$161.94	$272.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.35 / $199.10 / $208.08	Facility		$154.35	$199.10	$208.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.62 / $929.09 / $1,915.04	Facility		$138.62	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $233.60 / $281.95	Professional		$148.25	$233.60	$281.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,952.42 / $15,131.69	Facility		$5,159.74	$7,952.42	$15,131.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $203.79 / $268.45	Professional		$163.71	$203.79	$268.45
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 $111.05 / $179.80 / $296.39	Professional		$111.05	$179.80	$296.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $109.36 / $109.36	Professional		$86.69	$109.36	$109.36