Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.09 / $5,128.00 / $20,680.40	Facility		$715.09	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.51 / $491.04 / $1,040.00	Professional		$364.51	$491.04	$1,040.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,247.81 / $20,273.81 / $38,781.51	Facility		$9,247.81	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $534.23 / $842.86 / $3,959.35	Professional		$534.23	$842.86	$3,959.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $12,434.92	Facility		$714.97	$870.49	$12,434.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.94 / $711.42 / $1,188.84	Professional		$418.94	$711.42	$1,188.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $439.66 / $887.19 / $10,905.00	Facility		$439.66	$887.19	$10,905.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.35 / $827.85 / $9,390.20	Professional		$430.35	$827.85	$9,390.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $279.44 / $807.43	Professional		$49.15	$279.44	$807.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.30 / $765.14 / $783.23	Facility		$565.30	$765.14	$783.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.97 / $534.23 / $9,247.81	Facility		$515.97	$534.23	$9,247.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.38 / $849.86 / $1,060.40	Professional		$591.38	$849.86	$1,060.40
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 $526.22 / $760.41 / $1,012.88	Professional		$526.22	$760.41	$1,012.88
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 $483.32 / $645.75 / $1,111.29	Professional		$483.32	$645.75	$1,111.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $325.20 / $420.51	Professional		$325.20	$325.20	$420.51