Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.32 / $4,011.00 / $18,711.00	Facility		$631.32	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.56 / $444.59 / $920.82	Professional		$319.56	$444.59	$920.82
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 $491.13 / $800.61 / $3,053.48	Professional		$491.13	$800.61	$3,053.48
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 $338.61 / $625.07 / $1,066.61	Professional		$338.61	$625.07	$1,066.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $336.25 / $696.72 / $3,280.24	Facility		$336.25	$696.72	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $689.83 / $2,824.57	Professional		$323.02	$689.83	$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 $457.85 / $634.49 / $702.83	Facility		$457.85	$634.49	$702.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.25 / $479.39 / $2,961.46	Facility		$460.25	$479.39	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $762.62 / $951.55	Professional		$531.16	$762.62	$951.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $469.39 / $682.36 / $909.92	Professional		$469.39	$682.36	$909.92
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 $407.82 / $563.17 / $998.32	Professional		$407.82	$563.17	$998.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.63 / $292.63 / $387.23	Professional		$292.63	$292.63	$387.23