Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.24 / $11,522.02 / $22,024.00	Facility		$537.24	$11,522.02	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.10 / $537.24 / $613.76	Professional		$471.10	$537.24	$613.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,856.48 / $20,273.81 / $38,781.51	Facility		$5,856.48	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $711.38 / $1,204.10 / $4,745.25	Professional		$711.38	$1,204.10	$4,745.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $13,133.75	Facility		$714.97	$870.49	$13,133.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,397.05 / $9,917.93 / $26,311.49	Facility		$6,397.05	$9,917.93	$26,311.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,698.08 / $9,856.10 / $13,706.60	Professional		$5,698.08	$9,856.10	$13,706.60
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 $892.89 / $7,031.54 / $9,940.58	Facility		$892.89	$7,031.54	$9,940.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $743.08 / $9,887.21	Facility		$694.00	$743.08	$9,887.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.63 / $1,151.36 / $1,474.94	Professional		$786.63	$1,151.36	$1,474.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.78 / $1,013.68 / $1,408.12	Professional		$707.78	$1,013.68	$1,408.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.50 / $889.14 / $1,553.19	Professional		$649.50	$889.14	$1,553.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $625.10 / $625.10	Professional		$625.10	$625.10	$625.10