Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.02 / $703.05 / $13,750.00	Facility		$265.02	$703.05	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $287.38 / $642.16	Professional		$140.32	$287.38	$642.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.82 / $9,642.37 / $18,444.79	Facility		$1,013.82	$9,642.37	$18,444.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $242.60 / $441.39 / $2,775.98	Professional		$242.60	$441.39	$2,775.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $4,605.38	Facility		$466.83	$568.48	$4,605.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.14 / $359.58 / $698.65	Professional		$189.14	$359.58	$698.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.05 / $354.20 / $3,345.73	Facility		$187.05	$354.20	$3,345.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $353.74 / $1,998.04	Professional		$187.05	$353.74	$1,998.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $333.92 / $591.07	Professional		$58.72	$333.92	$591.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $277.38 / $467.66 / $509.32	Facility		$277.38	$467.66	$509.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.05 / $332.70 / $4,081.09	Facility		$332.05	$332.70	$4,081.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $371.95 / $604.29	Professional		$239.53	$371.95	$604.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,354.08 / $9,642.37 / $18,444.79	Facility		$6,354.08	$9,642.37	$18,444.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $353.58 / $600.45	Professional		$229.40	$353.58	$600.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.14 / $454.74 / $708.17	Professional		$303.14	$454.74	$708.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $198.22 / $267.82	Professional		$156.13	$198.22	$267.82