Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.87 / $5,539.00 / $17,930.00	Facility		$967.87	$5,539.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.37 / $680.36 / $2,346.00	Professional		$486.37	$680.36	$2,346.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $721.15 / $7,547.82 / $15,403.47	Facility		$721.15	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $747.34 / $1,172.04 / $4,578.89	Professional		$747.34	$1,172.04	$4,578.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $870.49 / $2,846.84	Facility		$670.00	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.99 / $943.69 / $1,595.56	Professional		$543.99	$943.69	$1,595.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $560.86 / $1,145.65 / $2,421.55	Facility		$560.86	$1,145.65	$2,421.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.25 / $1,107.78 / $2,149.79	Professional		$536.25	$1,107.78	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.56 / $1,030.87	Professional		$76.14	$299.56	$1,030.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,005.00 / $1,057.26	Facility		$735.00	$1,005.00	$1,057.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.34 / $721.15 / $2,218.36	Facility		$700.34	$721.15	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.15 / $1,147.21 / $1,431.40	Professional		$806.15	$1,147.21	$1,431.40
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 $714.25 / $1,026.46 / $1,366.55	Professional		$714.25	$1,026.46	$1,366.55
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $854.99 / $1,490.55	Professional		$630.00	$854.99	$1,490.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $438.68 / $570.33	Professional		$438.68	$438.68	$570.33