Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.04 / $1,954.09 / $22,024.00	Facility		$824.04	$1,954.09	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $824.04 / $1,954.09	Professional		$627.90	$824.04	$1,954.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $872.48 / $35,815.01 / $70,064.83	Facility		$872.48	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $889.81 / $1,475.13 / $5,037.75	Professional		$889.81	$1,475.13	$5,037.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.56 / $1,144.74 / $1,734.74	Professional		$693.56	$1,144.74	$1,734.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $664.10 / $1,350.18 / $1,853.47	Facility		$664.10	$1,350.18	$1,853.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.76 / $1,302.63 / $1,681.37	Professional		$646.76	$1,302.63	$1,681.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $407.49 / $1,093.15	Professional		$50.55	$407.49	$1,093.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $941.60 / $1,132.58 / $1,331.29	Facility		$941.60	$1,132.58	$1,331.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.38 / $782.38 / $872.48	Facility		$782.38	$782.38	$872.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.25 / $1,325.09 / $1,608.10	Professional		$984.25	$1,325.09	$1,608.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $889.81 / $1,198.27 / $1,590.76	Professional		$889.81	$1,198.27	$1,590.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.90 / $1,099.09 / $1,849.90	Professional		$795.90	$1,099.09	$1,849.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.56 / $474.56 / $588.60	Professional		$474.56	$474.56	$588.60