Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $4,011.00 / $18,711.00	Facility		$208.55	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $143.11 / $331.55	Professional		$106.00	$143.11	$331.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $7,222.64 / $16,394.00	Facility		$156.29	$7,222.64	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $263.31 / $2,987.00	Professional		$172.88	$263.31	$2,987.00
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 $125.62 / $207.20 / $341.77	Professional		$125.62	$207.20	$341.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $223.61 / $288.12	Facility		$115.93	$223.61	$288.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.39 / $223.61 / $290.08	Professional		$111.39	$223.61	$290.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $151.81 / $267.34	Professional		$26.86	$151.81	$267.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $220.59 / $231.20	Facility		$164.25	$220.59	$231.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.02 / $154.02 / $156.29	Facility		$154.02	$154.02	$156.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.72 / $248.63 / $310.23	Professional		$175.72	$248.63	$310.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,732.95 / $5,732.95 / $7,222.64	Facility		$5,732.95	$5,732.95	$7,222.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $222.46 / $301.27	Professional		$157.08	$222.46	$301.27
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 $143.63 / $186.44 / $330.19	Professional		$143.63	$186.44	$330.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $95.25 / $120.00	Professional		$95.25	$95.25	$120.00