Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.75 / $4,011.00 / $18,711.00	Facility		$617.75	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $484.79 / $921.10	Professional		$316.35	$484.79	$921.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,056.41 / $38,781.51	Facility		$5,555.68	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $520.98 / $844.11 / $3,317.40	Professional		$520.98	$844.11	$3,317.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $627.09 / $1,169.72	Professional		$336.26	$627.09	$1,169.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $670.42 / $6,675.67	Facility		$312.89	$670.42	$6,675.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $647.46 / $6,279.70	Professional		$312.89	$647.46	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $181.22 / $752.24	Professional		$31.82	$181.22	$752.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $428.26 / $627.00 / $763.80	Facility		$428.26	$627.00	$763.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.10 / $520.98 / $9,405.45	Facility		$505.10	$520.98	$9,405.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.48 / $828.78 / $1,034.08	Professional		$580.48	$828.78	$1,034.08
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 $515.13 / $735.20 / $987.24	Professional		$515.13	$735.20	$987.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $11,261.00	Facility		$1,471.00	$2,542.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.86 / $564.91 / $1,073.51	Professional		$379.86	$564.91	$1,073.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $316.10 / $428.47	Professional		$316.10	$316.10	$428.47