Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.54 / $942.07 / $18,711.00	Facility		$370.54	$942.07	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.11 / $368.53 / $915.99	Professional		$200.11	$368.53	$915.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.56 / $9,172.83 / $20,286.13	Facility		$1,056.56	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $353.85 / $650.55 / $2,626.88	Professional		$353.85	$650.55	$2,626.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $485.97 / $965.62	Professional		$260.77	$485.97	$965.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.76 / $463.00 / $2,806.97	Facility		$245.76	$463.00	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.76 / $463.00 / $1,622.78	Professional		$245.76	$463.00	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $373.92 / $827.12	Professional		$45.85	$373.92	$827.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $366.66 / $599.08 / $718.91	Facility		$366.66	$599.08	$718.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.20 / $490.36 / $2,961.46	Facility		$422.20	$490.36	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $517.16 / $817.95	Professional		$334.32	$517.16	$817.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.41 / $500.59 / $775.22	Professional		$320.41	$500.59	$775.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $11,261.00 / $18,561.84	Facility		$2,408.00	$11,261.00	$18,561.84
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $493.89 / $889.01	Professional		$359.19	$493.89	$889.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.15 / $296.77 / $401.48	Professional		$249.15	$296.77	$401.48