Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.07 / $2,769.52 / $18,711.00	Facility		$211.07	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $148.34 / $307.66	Professional		$101.75	$148.34	$307.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.05 / $2,000.00 / $11,500.00	Facility		$1,115.05	$2,000.00	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.67 / $282.08 / $963.23	Professional		$164.67	$282.08	$963.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $237.51 / $345.40	Professional		$150.81	$237.51	$345.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $264.63 / $684.49	Facility		$143.44	$264.63	$684.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $258.67 / $504.18	Professional		$143.44	$258.67	$504.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $164.75 / $270.47	Professional		$25.72	$164.75	$270.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.69 / $225.08 / $229.84	Facility		$165.69	$225.08	$229.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.11 / $155.84 / $306.32	Facility		$153.11	$155.84	$306.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $259.94 / $319.62	Professional		$160.41	$259.94	$319.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,255.31 / $1,935.85 / $3,745.11	Facility		$1,255.31	$1,935.85	$3,745.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $224.17 / $301.95	Professional		$156.16	$224.17	$301.95
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $235.20 / $329.25	Professional		$147.84	$235.20	$329.25