Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.19 / $813.79 / $14,464.32	Facility		$455.19	$813.79	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $352.09 / $768.93	Professional		$239.03	$352.09	$768.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.27 / $8,576.15 / $16,394.00	Facility		$1,548.27	$8,576.15	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $390.55 / $689.39 / $2,523.76	Professional		$390.55	$689.39	$2,523.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $542.12 / $965.70	Professional		$303.87	$542.12	$965.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $310.23 / $583.00 / $2,793.98	Facility		$310.23	$583.00	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $551.00 / $1,098.03	Professional		$299.70	$551.00	$1,098.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $387.92 / $796.99	Professional		$48.52	$387.92	$796.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $445.20 / $641.19 / $684.07	Facility		$445.20	$641.19	$684.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.34 / $904.15 / $1,781.59	Facility		$459.34	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.05 / $608.46 / $885.10	Professional		$401.05	$608.46	$885.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.47 / $567.34 / $790.25	Professional		$407.47	$567.34	$790.25
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.66 / $574.20 / $987.72	Professional		$363.66	$574.20	$987.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.88 / $280.48 / $380.58	Professional		$270.88	$280.48	$380.58