Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.52 / $5,128.00 / $20,680.40	Facility		$328.52	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $223.00 / $529.87	Professional		$180.84	$223.00	$529.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $249.31 / $406.50 / $3,532.88	Professional		$249.31	$406.50	$3,532.88
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 $197.60 / $335.48 / $543.78	Professional		$197.60	$335.48	$543.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.18 / $401.74 / $3,280.24	Facility		$207.18	$401.74	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.49 / $392.55 / $2,824.57	Professional		$191.49	$392.55	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $229.67 / $408.76	Professional		$41.06	$229.67	$408.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $346.48 / $363.81	Facility		$273.70	$346.48	$363.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.28 / $242.21 / $2,961.46	Facility		$238.28	$242.21	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $389.24 / $480.76	Professional		$270.77	$389.24	$480.76
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 $243.01 / $344.75 / $459.36	Professional		$243.01	$344.75	$459.36
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 $210.76 / $300.31 / $500.66	Professional		$210.76	$300.31	$500.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $145.76 / $190.64	Professional		$145.76	$145.76	$190.64