Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.29 / $5,128.00 / $20,680.40	Facility		$934.29	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.93 / $647.76 / $1,380.05	Professional		$500.93	$647.76	$1,380.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $718.77 / $1,150.48 / $4,447.28	Professional		$718.77	$1,150.48	$4,447.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.26 / $910.96 / $1,548.66	Professional		$515.26	$910.96	$1,548.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $527.65 / $1,071.35 / $7,292.72	Facility		$527.65	$1,071.35	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.17 / $1,024.42 / $6,279.70	Professional		$477.17	$1,024.42	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.93 / $998.62	Professional		$76.14	$299.93	$998.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $699.50 / $938.81 / $1,023.76	Facility		$699.50	$938.81	$1,023.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.97 / $698.30 / $6,526.97	Facility		$674.97	$698.30	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.71 / $1,110.85 / $1,386.05	Professional		$776.71	$1,110.85	$1,386.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $688.38 / $993.94 / $1,330.56	Professional		$688.38	$993.94	$1,330.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $24,764.99 / $40,868.01	Facility		$3,129.00	$24,764.99	$40,868.01
United Facility/Professional Professional Modifier Low / Median / High Price $610.36 / $815.10 / $1,436.43	Professional		$610.36	$815.10	$1,436.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.98 / $425.98 / $558.79	Professional		$425.98	$425.98	$558.79