Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $2,291.00 / $18,711.00	Facility		$390.06	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $276.55 / $564.78	Professional		$181.73	$276.55	$564.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $422.54 / $2,689.85 / $12,000.00	Facility		$422.54	$2,689.85	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $508.95 / $1,886.40	Professional		$305.00	$508.95	$1,886.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,159.36	Facility		$466.83	$568.48	$1,159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.94 / $388.40 / $643.82	Professional		$223.94	$388.40	$643.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $435.06 / $1,060.48	Facility		$228.96	$435.06	$1,060.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $419.44 / $781.13	Professional		$202.75	$419.44	$781.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $312.39 / $551.29	Professional		$52.25	$312.39	$551.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.43 / $391.95 / $430.14	Facility		$283.43	$391.95	$430.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.11 / $293.39 / $671.06	Facility		$288.11	$293.39	$671.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $485.45 / $585.94	Professional		$305.27	$485.45	$585.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,590.05 / $4,954.47	Facility		$1,679.53	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.26 / $422.05 / $554.97	Professional		$340.26	$422.05	$554.97
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.50 / $350.90 / $615.99	Professional		$224.50	$350.90	$615.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $229.18 / $229.18	Professional		$178.61	$229.18	$229.18