Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.80 / $2,769.52 / $18,711.00	Facility		$645.80	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $447.53 / $918.71	Professional		$307.07	$447.53	$918.71
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 $496.27 / $806.35 / $3,711.01	Professional		$496.27	$806.35	$3,711.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $629.66 / $1,072.77	Professional		$340.71	$629.66	$1,072.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $344.08 / $708.79 / $3,280.24	Facility		$344.08	$708.79	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $700.89 / $2,824.57	Professional		$324.88	$700.89	$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 $465.99 / $648.77 / $706.85	Facility		$465.99	$648.77	$706.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.42 / $482.14 / $2,961.46	Facility		$463.42	$482.14	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.28 / $766.99 / $956.99	Professional		$535.28	$766.99	$956.99
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 $472.63 / $686.26 / $916.96	Professional		$472.63	$686.26	$916.96
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 $409.51 / $557.47 / $989.89	Professional		$409.51	$557.47	$989.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.57 / $294.57 / $389.64	Professional		$294.57	$294.57	$389.64