Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.72 / $4,503.80 / $21,917.86	Facility		$598.72	$4,503.80	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $415.64 / $887.01	Professional		$298.58	$415.64	$887.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $459.11 / $734.41 / $3,608.17	Professional		$459.11	$734.41	$3,608.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $1,985.59	Facility		$883.20	$1,075.31	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $583.77 / $994.66	Professional		$317.89	$583.77	$994.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $321.02 / $662.38 / $1,741.30	Facility		$321.02	$662.38	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $648.15 / $1,499.41	Professional		$302.39	$648.15	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $182.69 / $649.95	Professional		$38.18	$182.69	$649.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.12 / $598.28 / $653.91	Facility		$435.12	$598.28	$653.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.18 / $446.03 / $1,613.81	Facility		$427.18	$446.03	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.21 / $709.55 / $885.33	Professional		$495.21	$709.55	$885.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $634.87 / $848.05	Professional		$435.67	$634.87	$848.05
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.12 / $486.72 / $911.22	Professional		$380.12	$486.72	$911.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.48 / $272.48 / $362.21	Professional		$272.48	$272.48	$362.21