Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.90 / $5,128.00 / $20,680.40	Facility		$345.90	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $242.03 / $536.39	Professional		$179.01	$242.03	$536.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $265.52 / $7,222.64 / $26,542.00	Facility		$265.52	$7,222.64	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $281.42 / $445.77 / $1,691.93	Professional		$281.42	$445.77	$1,691.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.98 / $346.91 / $580.15	Professional		$205.98	$346.91	$580.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.86 / $356.51 / $477.52	Facility		$187.86	$356.51	$477.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.86 / $356.51 / $488.77	Professional		$187.86	$356.51	$488.77
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 $250.88 / $354.43 / $389.27	Facility		$250.88	$354.43	$389.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.38 / $261.38 / $265.52	Facility		$261.38	$261.38	$265.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.49 / $422.39 / $527.03	Professional		$297.49	$422.39	$527.03
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 $266.57 / $377.93 / $509.16	Professional		$266.57	$377.93	$509.16
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 $234.71 / $331.18 / $559.03	Professional		$234.71	$331.18	$559.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $161.22 / $202.98	Professional		$161.22	$161.22	$202.98