Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.52 / $2,769.52 / $18,711.00	Facility		$617.52	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $415.73 / $930.86	Professional		$297.68	$415.73	$930.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $8,957.00 / $17,546.59	Facility		$457.00	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $716.13 / $3,033.32	Professional		$462.59	$716.13	$3,033.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $3,740.43	Facility		$714.97	$2,285.42	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.65 / $602.10 / $1,015.40	Professional		$329.65	$602.10	$1,015.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $349.57 / $716.32 / $3,280.24	Facility		$349.57	$716.32	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.23 / $685.49 / $2,824.57	Professional		$334.23	$685.49	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $505.80 / $888.63	Professional		$92.14	$505.80	$888.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $462.07 / $635.16 / $670.00	Facility		$462.07	$635.16	$670.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.22 / $457.00 / $2,961.46	Facility		$441.22	$457.00	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.23 / $727.00 / $907.10	Professional		$511.23	$727.00	$907.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $449.99 / $650.48 / $875.60	Professional		$449.99	$650.48	$875.60
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 $388.74 / $531.29 / $945.26	Professional		$388.74	$531.29	$945.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $281.58 / $362.35	Professional		$281.58	$281.58	$362.35