Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $5,116.62 / $20,680.40	Facility		$402.32	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $2,400.00	Professional		$402.32	$402.32	$2,400.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $637.52 / $1,779.82 / $3,404.60	Facility		$637.52	$1,779.82	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $530.38 / $1,016.67 / $4,071.45	Professional		$530.38	$1,016.67	$4,071.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $1,110.00	Facility		$511.44	$777.59	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $399.18 / $551.26 / $1,723.14	Facility		$399.18	$551.26	$1,723.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $551.26 / $1,499.79	Professional		$393.56	$551.26	$1,499.79
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 $379.40 / $507.80 / $982.22	Facility		$379.40	$507.80	$982.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $520.04 / $637.52	Facility		$236.51	$520.04	$637.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.30 / $901.07 / $1,265.40	Professional		$610.30	$901.07	$1,265.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,247.64 / $1,778.80 / $3,404.60	Facility		$1,247.64	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.17 / $788.79 / $1,308.83	Professional		$524.17	$788.79	$1,308.83
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 $505.12 / $631.40 / $1,271.55	Professional		$505.12	$631.40	$1,271.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $229.81 / $308.73	Professional		$229.81	$229.81	$308.73