Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.44 / $11,522.02 / $22,024.00	Facility		$507.44	$11,522.02	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.08 / $507.44 / $575.51	Professional		$445.08	$507.44	$575.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $20,273.81 / $38,781.51	Facility		$12,154.00	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $674.30 / $1,137.34 / $4,485.53	Professional		$674.30	$1,137.34	$4,485.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,832.25	Facility		$714.97	$870.49	$11,832.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,397.05 / $9,111.20 / $28,720.23	Facility		$6,397.05	$9,111.20	$28,720.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,133.41 / $8,879.39 / $12,348.31	Professional		$5,133.41	$8,879.39	$12,348.31
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 $844.05 / $6,692.35 / $9,393.79	Facility		$844.05	$6,692.35	$9,393.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.49 / $702.41 / $9,641.87	Facility		$655.49	$702.41	$9,641.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.47 / $1,088.34 / $1,394.21	Professional		$743.47	$1,088.34	$1,394.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $668.51 / $958.06 / $1,331.04	Professional		$668.51	$958.06	$1,331.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,431.00 / $10,522.00	Facility		$1,471.00	$2,431.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.96 / $825.36 / $1,397.09	Professional		$613.96	$825.36	$1,397.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.62 / $741.62 / $741.62	Professional		$741.62	$741.62	$741.62