Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.65 / $3,463.48 / $18,711.00	Facility		$406.65	$3,463.48	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $303.24 / $512.60	Professional		$212.66	$303.24	$512.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $385.50 / $567.35 / $1,107.58	Facility		$385.50	$567.35	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $388.57 / $667.32 / $2,405.48	Professional		$388.57	$667.32	$2,405.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $450.58 / $856.80	Professional		$276.27	$450.58	$856.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $303.63 / $486.85 / $739.16	Facility		$303.63	$486.85	$739.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $493.51 / $757.24	Professional		$314.10	$493.51	$757.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $402.36 / $720.41	Professional		$72.90	$402.36	$720.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $362.47 / $534.47 / $564.80	Facility		$362.47	$534.47	$564.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.68 / $380.68 / $385.50	Facility		$380.68	$380.68	$385.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.89 / $641.44 / $755.61	Professional		$387.89	$641.44	$755.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $413.98 / $567.35 / $1,085.27	Facility		$413.98	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $388.57 / $526.80 / $737.62	Professional		$388.57	$526.80	$737.62
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.36 / $394.44 / $813.92	Professional		$318.36	$394.44	$813.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $313.00 / $313.00	Professional		$313.00	$313.00	$313.00