Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.65 / $7,190.56 / $22,024.00	Facility		$366.65	$7,190.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.68 / $366.65 / $416.02	Professional		$324.68	$366.65	$416.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,611.02 / $9,172.83 / $17,546.59	Facility		$5,611.02	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $487.87 / $802.75 / $3,085.28	Professional		$487.87	$802.75	$3,085.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $5,415.70	Facility		$714.97	$870.49	$5,415.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,892.28 / $10,556.82 / $26,464.36	Facility		$2,892.28	$10,556.82	$26,464.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.26 / $1,081.26 / $1,081.26	Professional		$1,081.26	$1,081.26	$1,081.26
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 $429.19 / $2,466.17 / $3,878.78	Facility		$429.19	$2,466.17	$3,878.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.92 / $508.64 / $3,855.40	Facility		$477.92	$508.64	$3,855.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.05 / $789.46 / $1,009.60	Professional		$542.05	$789.46	$1,009.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,172.83 / $17,546.59	Facility		$6,693.27	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $487.87 / $663.59 / $935.97	Professional		$487.87	$663.59	$935.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.52 / $601.92 / $1,018.60	Professional		$443.52	$601.92	$1,018.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $89.60 / $523.28	Professional		$89.60	$89.60	$523.28