Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.64 / $4,011.00 / $18,711.00	Facility		$656.64	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.23 / $457.15 / $957.75	Professional		$334.23	$457.15	$957.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $507.56 / $810.36 / $3,139.88	Professional		$507.56	$810.36	$3,139.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.90 / $643.22 / $1,096.30	Professional		$361.90	$643.22	$1,096.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $364.96 / $746.59 / $3,280.24	Facility		$364.96	$746.59	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.74 / $718.47 / $2,824.57	Professional		$335.74	$718.47	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.62 / $208.60 / $733.30	Professional		$38.62	$208.60	$733.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.63 / $656.60 / $722.93	Facility		$483.63	$656.60	$722.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.20 / $493.10 / $2,961.46	Facility		$475.20	$493.10	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.09 / $784.43 / $978.76	Professional		$547.09	$784.43	$978.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $484.64 / $701.87 / $937.20	Professional		$484.64	$701.87	$937.20
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 $412.32 / $560.00 / $1,028.26	Professional		$412.32	$560.00	$1,028.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.92 / $300.92 / $397.39	Professional		$300.92	$300.92	$397.39