Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.08 / $5,128.00 / $22,024.00	Facility		$275.08	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.38 / $275.08 / $327.56	Professional		$241.38	$275.08	$327.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,582.33 / $19,381.37 / $37,074.37	Facility		$2,582.33	$19,381.37	$37,074.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $660.82 / $2,722.80	Professional		$364.44	$660.82	$2,722.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $14,106.74	Facility		$714.97	$870.49	$14,106.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,149.63 / $9,504.46 / $14,722.01	Facility		$3,149.63	$9,504.46	$14,722.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,120.20 / $10,586.26 / $14,722.01	Professional		$6,120.20	$10,586.26	$14,722.01
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 $108.53 / $7,008.47 / $11,280.04	Facility		$108.53	$7,008.47	$11,280.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.61 / $380.68 / $10,418.29	Facility		$355.61	$380.68	$10,418.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.08 / $605.59 / $755.61	Professional		$416.08	$605.59	$755.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,951.72 / $18,951.30 / $37,074.37	Facility		$11,951.72	$18,951.30	$37,074.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $362.67 / $554.04 / $957.52	Professional		$362.67	$554.04	$957.52
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.91 / $442.20 / $804.26	Professional		$316.91	$442.20	$804.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $137.63 / $402.07	Professional		$32.04	$137.63	$402.07