Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.75 / $9,095.84 / $20,680.40	Facility		$830.75	$9,095.84	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.89 / $576.16 / $1,261.15	Professional		$441.89	$576.16	$1,261.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,159.36 / $17,347.02 / $35,644.43	Facility		$1,159.36	$17,347.02	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $643.51 / $1,041.08 / $4,013.10	Professional		$643.51	$1,041.08	$4,013.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $810.01 / $1,374.58	Professional		$476.88	$810.01	$1,374.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $427.35 / $880.24 / $1,211.44	Facility		$427.35	$880.24	$1,211.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.68 / $848.69 / $1,117.95	Professional		$423.68	$848.69	$1,117.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $424.60 / $954.95	Professional		$77.12	$424.60	$954.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $633.08 / $861.62 / $916.56	Facility		$633.08	$861.62	$916.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $625.17 / $6,526.97	Facility		$612.00	$625.17	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.71 / $999.74 / $1,240.91	Professional		$696.71	$999.74	$1,240.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $18,623.18 / $35,644.43	Facility		$12,154.00	$18,623.18	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $624.16 / $889.86 / $1,184.69	Professional		$624.16	$889.86	$1,184.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.55 / $736.44 / $1,288.20	Professional		$555.55	$736.44	$1,288.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.32 / $379.32 / $488.68	Professional		$379.32	$379.32	$488.68