Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $5,128.00 / $22,024.00	Facility		$264.92	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $264.92 / $300.45	Professional		$232.46	$264.92	$300.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23,890.63 / $37,297.19 / $71,345.31	Facility		$23,890.63	$37,297.19	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $405.14 / $646.72 / $2,451.90	Professional		$405.14	$646.72	$2,451.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $26,733.98	Facility		$714.97	$870.49	$26,733.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,593.29 / $44,948.87 / $112,680.05	Facility		$12,593.29	$44,948.87	$112,680.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.32 / $859.32 / $859.32	Professional		$859.32	$859.32	$859.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.73 / $10,223.41 / $17,503.53	Facility		$418.73	$10,223.41	$17,503.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $383.88 / $13,091.98	Facility		$342.47	$383.88	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.58 / $636.10 / $791.71	Professional		$419.58	$636.10	$791.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,449.56 / $37,297.19 / $71,345.31	Facility		$28,449.56	$37,297.19	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $418.57 / $501.60 / $678.23	Professional		$418.57	$501.60	$678.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.55 / $438.48 / $765.82	Professional		$322.55	$438.48	$765.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.80 / $246.80 / $246.80	Professional		$246.80	$246.80	$246.80