Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.46 / $10,122.46 / $27,982.24	Facility		$390.46	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $390.46 / $428.51	Professional		$215.20	$390.46	$428.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $8,969.28 / $17,546.59	Facility		$2,961.46	$8,969.28	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $513.65 / $867.08 / $3,085.28	Professional		$513.65	$867.08	$3,085.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $3,740.43	Facility		$714.97	$2,285.42	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,099.35 / $2,892.28 / $12,286.80	Facility		$2,099.35	$2,892.28	$12,286.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,622.78 / $2,806.97 / $3,903.57	Professional		$1,622.78	$2,806.97	$3,903.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.94 / $601.96 / $2,764.51	Facility		$355.94	$601.96	$2,764.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.05 / $556.74 / $2,961.46	Facility		$483.05	$556.74	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.97 / $748.46 / $961.03	Professional		$527.97	$748.46	$961.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $532.69 / $610.29 / $876.48	Professional		$532.69	$610.29	$876.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.60 / $466.10 / $1,019.57	Professional		$347.60	$466.10	$1,019.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $470.96 / $470.96 / $470.96	Professional		$470.96	$470.96	$470.96