Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $2,435.17 / $6,470.00	Facility		$157.69	$2,435.17	$6,470.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $215.27 / $366.67	Professional		$81.18	$215.27	$366.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $303.45 / $1,819.21 / $2,648.32	Facility		$303.45	$1,819.21	$2,648.32
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $174.79 / $306.41 / $306.41	Facility	52	$174.79	$306.41	$306.41
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $43.70 / $76.59 / $76.59	Facility	53	$43.70	$76.59	$76.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $350.17 / $1,646.48	Professional		$120.77	$350.17	$1,646.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.53 / $880.53 / $880.53	Facility		$880.53	$880.53	$880.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $253.93 / $621.66	Professional		$111.50	$253.93	$621.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $232.24 / $652.97	Facility		$93.89	$232.24	$652.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $224.56 / $593.37	Professional		$84.01	$224.56	$593.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $371.89 / $652.59	Professional		$63.47	$371.89	$652.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.84 / $431.31 / $495.80	Facility		$168.84	$431.31	$495.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.45 / $303.45 / $329.33	Facility		$303.45	$303.45	$329.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $302.19 / $602.02	Professional		$140.91	$302.19	$602.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,443.99 / $1,959.77 / $3,748.81	Facility		$1,443.99	$1,959.77	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $264.35 / $544.80	Professional		$118.73	$264.35	$544.80
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,106.00 / $4,911.00	Facility		$648.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $426.12 / $710.39	Professional		$280.70	$426.12	$710.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $181.10 / $247.07	Professional		$82.04	$181.10	$247.07