Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.60 / $875.62 / $18,711.00	Facility		$433.60	$875.62	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $378.70 / $856.07	Professional		$217.00	$378.70	$856.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.27 / $8,576.15 / $26,542.00	Facility		$1,548.27	$8,576.15	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $371.92 / $776.88 / $2,945.60	Professional		$371.92	$776.88	$2,945.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,302.92	Facility		$714.97	$918.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $534.25 / $1,116.95	Professional		$281.41	$534.25	$1,116.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $293.58 / $542.99 / $2,793.98	Facility		$293.58	$542.99	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.45 / $517.75 / $1,185.92	Professional		$289.45	$517.75	$1,185.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $332.78 / $863.84	Professional		$39.46	$332.78	$863.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.58 / $661.96 / $800.65	Facility		$423.58	$661.96	$800.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.52 / $904.15 / $1,781.59	Facility		$539.52	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.48 / $616.44 / $1,002.16	Professional		$386.48	$616.44	$1,002.16
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 $386.65 / $629.53 / $907.60	Professional		$386.65	$629.53	$907.60
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 $385.00 / $645.30 / $1,158.60	Professional		$385.00	$645.30	$1,158.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $324.93 / $442.71	Professional		$259.20	$324.93	$442.71