Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.79 / $788.41 / $14,464.32	Facility		$410.79	$788.41	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.93 / $410.79 / $846.05	Professional		$255.93	$410.79	$846.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,315.04 / $9,172.83 / $17,546.59	Facility		$1,315.04	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $427.81 / $685.75 / $2,456.17	Professional		$427.81	$685.75	$2,456.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $534.71 / $952.12	Professional		$293.82	$534.71	$952.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.76 / $529.05 / $2,806.97	Facility		$277.76	$529.05	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $523.16 / $1,622.78	Professional		$266.39	$523.16	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $131.07 / $675.21	Professional		$28.95	$131.07	$675.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.88 / $567.49 / $645.21	Facility		$377.88	$567.49	$645.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $440.09 / $2,961.46	Facility		$419.48	$440.09	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.09 / $643.38 / $794.82	Professional		$440.09	$643.38	$794.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $408.07 / $588.29 / $792.01	Professional		$408.07	$588.29	$792.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,769.18 / $10,522.00	Facility		$1,547.00	$2,769.18	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.49 / $457.95 / $858.34	Professional		$319.49	$457.95	$858.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $316.23 / $363.58	Professional		$269.17	$316.23	$363.58