Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $7,190.56 / $20,680.40	Facility		$143.04	$7,190.56	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $143.04 / $173.50	Professional		$107.02	$143.04	$173.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,284.36 / $10,430.95 / $14,666.26	Facility		$1,284.36	$10,430.95	$14,666.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $325.35 / $1,275.23	Professional		$190.34	$325.35	$1,275.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $4,443.08	Facility		$500.00	$870.49	$4,443.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $229.77 / $229.77	Professional		$229.77	$229.77	$229.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,658.81 / $5,158.59 / $14,868.93	Facility		$1,658.81	$5,158.59	$14,868.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.10 / $447.10 / $447.10	Professional		$447.10	$447.10	$447.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $60.00	Professional		$30.00	$30.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $1,610.90 / $2,822.27	Facility		$129.97	$1,610.90	$2,822.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.18 / $899.19 / $1,401.14	Facility		$186.18	$899.19	$1,401.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $312.73 / $396.40	Professional		$200.57	$312.73	$396.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,184.88 / $10,612.27 / $20,760.75	Facility		$6,184.88	$10,612.27	$20,760.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $277.47 / $375.38	Professional		$190.34	$277.47	$375.38
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,436.00 / $6,857.00	Facility		$650.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $259.48 / $399.98	Professional		$156.56	$259.48	$399.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $154.19 / $158.33	Professional		$154.19	$154.19	$158.33