Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.99 / $4,011.00 / $18,711.00	Facility		$388.99	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.69 / $265.97 / $631.83	Professional		$200.69	$265.97	$631.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $291.57 / $2,000.00 / $16,394.00	Facility		$291.57	$2,000.00	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $315.42 / $491.20 / $1,856.63	Professional		$315.42	$491.20	$1,856.63
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 $231.00 / $391.76 / $637.24	Professional		$231.00	$391.76	$637.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $210.86 / $415.00 / $537.65	Facility		$210.86	$415.00	$537.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $415.00 / $538.36	Professional		$208.70	$415.00	$538.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $344.90 / $603.66	Professional		$60.80	$344.90	$603.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $312.62 / $410.79 / $429.47	Facility		$312.62	$410.79	$429.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.11 / $288.11 / $291.57	Facility		$288.11	$288.11	$291.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.80 / $470.64 / $578.73	Professional		$327.80	$470.64	$578.73
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 $293.83 / $415.01 / $559.37	Professional		$293.83	$415.01	$559.37
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $346.21 / $624.70	Professional		$258.24	$346.21	$624.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $177.51 / $223.48	Professional		$177.51	$177.51	$223.48