Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.43 / $2,769.52 / $18,711.00	Facility		$764.43	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.39 / $585.02 / $1,275.31	Professional		$412.39	$585.02	$1,275.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,838.03 / $9,118.81 / $17,453.22	Facility		$3,838.03	$9,118.81	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $564.85 / $897.67 / $6,589.56	Professional		$564.85	$897.67	$6,589.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,302.92	Facility		$466.83	$568.48	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $758.52 / $1,260.95	Professional		$447.56	$758.52	$1,260.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $450.22 / $921.17 / $2,896.56	Facility		$450.22	$921.17	$2,896.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $896.99 / $2,494.19	Professional		$425.60	$896.99	$2,494.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $208.71 / $823.02	Professional		$38.57	$208.71	$823.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $581.40 / $803.83 / $862.92	Facility		$581.40	$803.83	$862.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.67 / $564.85 / $2,412.73	Facility		$547.67	$564.85	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.95 / $898.57 / $1,121.18	Professional		$630.95	$898.57	$1,121.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $558.55 / $803.99 / $1,080.64	Professional		$558.55	$803.99	$1,080.64
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 $487.62 / $667.93 / $1,185.61	Professional		$487.62	$667.93	$1,185.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.67 / $340.67 / $451.41	Professional		$340.67	$340.67	$451.41