Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.45 / $4,011.00 / $18,711.00	Facility		$279.45	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $223.60 / $496.93	Professional		$169.73	$223.60	$496.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $2,000.00 / $16,394.00	Facility		$244.50	$2,000.00	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $407.84 / $1,557.23	Professional		$259.64	$407.84	$1,557.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $670.00 / $761.81	Facility		$625.25	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $319.31 / $534.29	Professional		$183.36	$319.31	$534.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $168.72 / $307.82 / $439.70	Facility		$168.72	$307.82	$439.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.05 / $307.82 / $451.90	Professional		$172.05	$307.82	$451.90
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 $214.40 / $322.05 / $358.45	Facility		$214.40	$322.05	$358.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $241.00 / $244.50	Facility		$241.00	$241.00	$244.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $388.95 / $485.30	Professional		$275.39	$388.95	$485.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,106.57 / $3,106.57 / $3,913.81	Facility		$3,106.57	$3,106.57	$3,913.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.78 / $348.01 / $470.40	Professional		$245.78	$348.01	$470.40
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $5,793.00	Facility		$157.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.30 / $289.12 / $517.52	Professional		$206.30	$289.12	$517.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $148.52 / $187.02	Professional		$148.52	$148.52	$187.02