Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $10,122.46 / $27,982.24	Facility		$272.66	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $272.66 / $299.20	Professional		$192.80	$272.66	$299.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,833.16 / $13,114.70 / $25,086.94	Facility		$7,833.16	$13,114.70	$25,086.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $611.64 / $2,436.60	Professional		$359.44	$611.64	$2,436.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $5,957.76	Facility		$714.97	$870.49	$5,957.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,343.85 / $4,587.66 / $16,063.48	Facility		$3,343.85	$4,587.66	$16,063.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,584.77 / $4,470.93 / $6,217.62	Professional		$2,584.77	$4,470.93	$6,217.62
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 $391.62 / $3,030.93 / $4,527.52	Facility		$391.62	$3,030.93	$4,527.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.43 / $381.60 / $4,555.79	Facility		$352.43	$381.60	$4,555.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.48 / $607.04 / $757.43	Professional		$407.48	$607.04	$757.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,504.29 / $13,107.20 / $25,086.94	Facility		$8,504.29	$13,107.20	$25,086.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $522.21 / $734.80	Professional		$359.44	$522.21	$734.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $481.32 / $793.26	Professional		$325.20	$481.32	$793.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $294.32 / $294.32	Professional		$294.32	$294.32	$294.32