Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.03 / $1,694.32 / $6,522.00	Facility		$73.03	$1,694.32	$6,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $165.59	Professional		$45.89	$127.09	$165.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,231.09 / $1,959.77 / $3,791.38	Facility		$1,231.09	$1,959.77	$3,791.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $195.93 / $230.50 / $230.50	Professional		$195.93	$230.50	$230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $880.53	Facility		$466.83	$568.48	$880.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $494.21 / $678.03 / $2,555.73	Facility		$494.21	$678.03	$2,555.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $660.80 / $918.94	Professional		$481.64	$660.80	$918.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $481.01 / $666.00 / $717.00	Facility		$481.01	$666.00	$717.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.22 / $238.22 / $715.32	Facility		$238.22	$238.22	$715.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.01 / $1,958.65 / $3,748.81	Facility		$1,430.01	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.98 / $230.50 / $230.50	Professional		$218.98	$230.50	$230.50
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $437.95 / $437.95 / $437.95	Professional		$437.95	$437.95	$437.95