Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.39 / $775.30 / $14,551.50	Facility		$470.39	$775.30	$14,551.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.39 / $353.73 / $809.07	Professional		$249.39	$353.73	$809.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,825.50 / $15,555.67 / $21,924.91	Facility		$1,825.50	$15,555.67	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $408.74 / $705.79 / $2,460.71	Professional		$408.74	$705.79	$2,460.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $541.17 / $936.80	Professional		$306.58	$541.17	$936.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $304.73 / $592.89 / $5,194.27	Facility		$304.73	$592.89	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $557.13 / $1,045.80	Professional		$301.27	$557.13	$1,045.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $353.20 / $764.69	Professional		$48.52	$353.20	$764.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.71 / $617.74 / $667.32	Facility		$446.71	$617.74	$667.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.38 / $904.15 / $3,953.90	Facility		$449.38	$904.15	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.52 / $614.16 / $863.47	Professional		$420.52	$614.16	$863.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $433.60 / $581.44 / $778.59	Professional		$433.60	$581.44	$778.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.70 / $560.41 / $1,003.97	Professional		$352.70	$560.41	$1,003.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.75 / $279.79 / $361.09	Professional		$272.75	$279.79	$361.09