Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.91 / $5,128.00 / $22,024.00	Facility		$343.91	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $273.70 / $374.43	Professional		$223.03	$273.70	$374.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,909.30 / $12,053.91	Facility		$55.00	$7,909.30	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $347.43 / $586.58 / $2,160.15	Professional		$347.43	$586.58	$2,160.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,302.92	Facility		$466.83	$568.48	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $454.11 / $745.26	Professional		$267.50	$454.11	$745.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.25 / $532.64 / $2,896.56	Facility		$275.25	$532.64	$2,896.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $497.97 / $2,225.36	Professional		$233.73	$497.97	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.02 / $473.93 / $495.80	Facility		$324.02	$473.93	$495.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.96 / $904.15 / $1,781.59	Facility		$332.96	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $563.83 / $680.53	Professional		$355.90	$563.83	$680.53
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 $393.23 / $486.48 / $640.84	Professional		$393.23	$486.48	$640.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,431.00 / $8,535.00	Facility		$1,100.00	$2,431.00	$8,535.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $448.64 / $715.42	Professional		$273.39	$448.64	$715.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $473.77 / $473.77	Professional		$296.93	$473.77	$473.77