Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.84 / $5,128.00 / $20,680.40	Facility		$1,152.84	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.49 / $797.94 / $1,733.76	Professional		$577.49	$797.94	$1,733.76
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 $888.12 / $1,447.00 / $5,496.00	Professional		$888.12	$1,447.00	$5,496.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,466.59 / $2,606.98 / $3,123.47	Professional		$2,466.59	$2,606.98	$3,123.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $1,329.19 / $7,292.72	Facility		$655.48	$1,329.19	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.88 / $1,278.90 / $6,279.70	Professional		$593.88	$1,278.90	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $369.05 / $1,194.93	Professional		$78.68	$369.05	$1,194.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $860.15 / $1,177.85 / $1,264.96	Facility		$860.15	$1,177.85	$1,264.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.79 / $862.82 / $6,526.97	Facility		$835.79	$862.82	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.81 / $1,372.58 / $1,712.60	Professional		$960.81	$1,372.58	$1,712.60
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 $852.39 / $1,228.10 / $1,645.60	Professional		$852.39	$1,228.10	$1,645.60
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 $747.18 / $978.44 / $1,805.48	Professional		$747.18	$978.44	$1,805.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $526.17 / $685.67	Professional		$526.17	$526.17	$685.67