Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.26 / $575.72 / $22,024.00	Facility		$246.26	$575.72	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $246.26 / $575.72	Professional		$181.06	$246.26	$575.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,554.36 / $5,000.00	Facility		$55.00	$3,554.36	$5,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $449.57 / $3,485.49	Professional		$290.24	$449.57	$3,485.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,500.00	Facility		$2,000.00	$2,285.42	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $362.36 / $602.69	Professional		$214.76	$362.36	$602.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $195.92 / $394.02 / $505.92	Facility		$195.92	$394.02	$505.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $394.02 / $507.65	Professional		$195.92	$394.02	$507.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $293.62 / $518.16	Professional		$51.94	$293.62	$518.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $381.62 / $413.39	Facility		$294.58	$381.62	$413.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $281.97	Facility		$274.52	$274.52	$281.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.99 / $448.56 / $559.67	Professional		$315.99	$448.56	$559.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,683.09 / $8,683.09 / $10,939.38	Facility		$8,683.09	$8,683.09	$10,939.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.97 / $401.34 / $534.32	Professional		$279.97	$401.34	$534.32
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.78 / $338.26 / $591.02	Professional		$255.78	$338.26	$591.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $171.16 / $209.98	Professional		$171.16	$171.16	$209.98