Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.25 / $5,128.00 / $20,680.40	Facility		$725.25	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $501.43 / $1,124.00	Professional		$361.26	$501.43	$1,124.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,913.50 / $38,781.51	Facility		$5,555.68	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $562.60 / $891.77 / $3,648.58	Professional		$562.60	$891.77	$3,648.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.39 / $707.13 / $1,213.72	Professional		$414.39	$707.13	$1,213.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $382.23 / $825.05 / $6,403.45	Facility		$382.23	$825.05	$6,403.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.23 / $793.75 / $6,279.70	Professional		$382.23	$793.75	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $219.60 / $835.32	Professional		$38.57	$219.60	$835.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.79 / $746.70 / $801.32	Facility		$548.79	$746.70	$801.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.14 / $546.57 / $6,526.97	Facility		$519.14	$546.57	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.16 / $869.49 / $1,084.89	Professional		$602.16	$869.49	$1,084.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.45 / $775.98 / $1,035.74	Professional		$529.45	$775.98	$1,035.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.80 / $646.12 / $1,131.57	Professional		$465.80	$646.12	$1,131.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.42 / $335.42 / $441.98	Professional		$335.42	$335.42	$441.98