Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.89 / $4,011.00 / $18,711.00	Facility		$638.89	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.59 / $441.22 / $1,028.83	Professional		$337.59	$441.22	$1,028.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,526.72 / $19,056.41 / $38,781.51	Facility		$4,526.72	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $500.04 / $780.70 / $4,674.28	Professional		$500.04	$780.70	$4,674.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.17 / $653.85 / $1,054.07	Professional		$385.17	$653.85	$1,054.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $413.09 / $786.72 / $6,597.50	Facility		$413.09	$786.72	$6,597.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.45 / $760.72 / $6,279.70	Professional		$392.45	$760.72	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $243.48 / $676.79	Professional		$49.06	$243.48	$676.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.40 / $674.95 / $733.56	Facility		$568.40	$674.95	$733.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.92 / $485.79 / $6,526.97	Facility		$477.92	$485.79	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.57 / $780.70 / $964.25	Professional		$542.57	$780.70	$964.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $487.41 / $696.20 / $929.28	Professional		$487.41	$696.20	$929.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $24,764.99 / $40,868.01	Facility		$2,408.00	$24,764.99	$40,868.01
United Facility/Professional Professional Modifier Low / Median / High Price $443.52 / $591.21 / $1,019.57	Professional		$443.52	$591.21	$1,019.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.57 / $294.57 / $366.42	Professional		$294.57	$294.57	$366.42