Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.37 / $6,304.62 / $22,024.00	Facility		$626.37	$6,304.62	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.07 / $579.19 / $1,092.46	Professional		$433.07	$579.19	$1,092.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,322.67 / $8,052.47 / $17,808.41	Facility		$2,322.67	$8,052.47	$17,808.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $495.59 / $801.57 / $3,327.23	Professional		$495.59	$801.57	$3,327.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.90 / $689.67 / $1,094.07	Professional		$419.90	$689.67	$1,094.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $550.99 / $898.62 / $2,496.58	Facility		$550.99	$898.62	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $845.52 / $2,149.79	Professional		$497.00	$845.52	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $496.74 / $870.29	Professional		$87.67	$496.74	$870.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $498.87 / $674.69 / $1,159.34	Facility		$498.87	$674.69	$1,159.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.97 / $468.43 / $2,218.36	Facility		$462.97	$468.43	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.62 / $745.18 / $929.78	Professional		$525.62	$745.18	$929.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $472.16 / $673.84 / $900.24	Professional		$472.16	$673.84	$900.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.01 / $775.67 / $987.72	Professional		$433.01	$775.67	$987.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $283.80 / $359.45	Professional		$283.80	$283.80	$359.45