Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.61 / $5,116.62 / $18,800.00	Facility		$784.61	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.68 / $603.10 / $1,236.52	Professional		$430.68	$603.10	$1,236.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $20,273.81 / $38,781.51	Facility		$6,526.97	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $604.46 / $935.56 / $3,959.35	Professional		$604.46	$935.56	$3,959.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $13,424.34	Facility		$714.97	$870.49	$13,424.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.27 / $779.27 / $1,306.55	Professional		$461.27	$779.27	$1,306.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $494.37 / $968.99 / $11,772.70	Facility		$494.37	$968.99	$11,772.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.68 / $933.87 / $10,074.15	Professional		$472.68	$933.87	$10,074.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $263.78 / $824.75	Professional		$64.72	$263.78	$824.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $620.09 / $826.78 / $860.95	Facility		$620.09	$826.78	$860.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.70 / $587.25 / $6,526.97	Facility		$566.70	$587.25	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.92 / $934.20 / $1,165.61	Professional		$648.92	$934.20	$1,165.61
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 $577.96 / $835.87 / $1,112.81	Professional		$577.96	$835.87	$1,112.81
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 $530.63 / $694.41 / $1,219.44	Professional		$530.63	$694.41	$1,219.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.78 / $357.78 / $462.35	Professional		$357.78	$357.78	$462.35