Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.61 / $1,026.49 / $17,566.66	Facility		$471.61	$1,026.49	$17,566.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $367.60 / $875.42	Professional		$245.60	$367.60	$875.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $8,576.15 / $16,394.00	Facility		$1,689.02	$8,576.15	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $402.27 / $730.51 / $2,727.76	Professional		$402.27	$730.51	$2,727.76
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 $301.79 / $558.36 / $1,040.42	Professional		$301.79	$558.36	$1,040.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $599.92 / $2,494.19	Facility		$319.20	$599.92	$2,494.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $558.59 / $1,167.66	Professional		$309.38	$558.59	$1,167.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $402.51 / $870.12	Professional		$48.61	$402.51	$870.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.62 / $680.72 / $741.02	Facility		$450.62	$680.72	$741.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.39 / $1,140.42 / $1,994.21	Facility		$497.39	$1,140.42	$1,994.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.15 / $635.62 / $958.64	Professional		$419.15	$635.62	$958.64
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 $421.90 / $592.78 / $856.04	Professional		$421.90	$592.78	$856.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,648.57 / $2,964.39 / $10,312.00	Facility		$1,648.57	$2,964.39	$10,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.08 / $600.88 / $1,052.59	Professional		$386.08	$600.88	$1,052.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.31 / $301.74 / $410.14	Professional		$280.31	$301.74	$410.14