Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.36 / $2,291.00 / $18,711.00	Facility		$232.36	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $168.16 / $350.46	Professional		$119.10	$168.16	$350.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $176.40 / $588.88	Facility		$55.00	$176.40	$588.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $303.18 / $1,138.28	Professional		$185.76	$303.18	$1,138.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $2,349.00	Facility		$500.00	$714.97	$2,349.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $236.66 / $381.51	Professional		$145.87	$236.66	$381.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $262.92 / $332.47	Facility		$141.44	$262.92	$332.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $251.51 / $332.45	Professional		$123.28	$251.51	$332.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $202.34 / $345.04	Professional		$33.84	$202.34	$345.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.61 / $245.20 / $258.62	Facility		$190.61	$245.20	$258.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $175.31 / $176.40	Facility		$175.31	$175.31	$176.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $292.95 / $353.58	Professional		$184.92	$292.95	$353.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,307.01 / $6,307.01 / $7,945.87	Facility		$6,307.01	$6,307.01	$7,945.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $253.75 / $332.27	Professional		$207.05	$253.75	$332.27
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $224.79 / $377.19	Professional		$148.59	$224.79	$377.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $132.63 / $132.63	Professional		$107.39	$132.63	$132.63