Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.41 / $2,812.16 / $18,711.00	Facility		$466.41	$2,812.16	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.49 / $334.17 / $741.89	Professional		$248.49	$334.17	$741.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,595.57 / $2,682.56 / $11,500.00	Facility		$1,595.57	$2,682.56	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $410.21 / $633.66 / $4,278.02	Professional		$410.21	$633.66	$4,278.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,132.06	Facility		$466.83	$568.48	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.11 / $523.63 / $973.48	Professional		$279.11	$523.63	$973.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $299.14 / $569.58 / $1,036.23	Facility		$299.14	$569.58	$1,036.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.26 / $550.99 / $983.95	Professional		$282.26	$550.99	$983.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $484.95 / $855.80	Professional		$85.85	$484.95	$855.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.67 / $540.00 / $667.32	Facility		$369.67	$540.00	$667.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $339.75 / $927.31	Facility		$308.82	$339.75	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.70 / $599.73 / $903.47	Professional		$425.70	$599.73	$903.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $555.00 / $821.50	Professional		$346.50	$555.00	$821.50
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.50 / $533.05 / $736.57	Professional		$325.50	$533.05	$736.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $276.89 / $345.58	Professional		$276.89	$276.89	$345.58