Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $853.59 / $22,024.00	Facility		$405.51	$853.59	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.32 / $346.06 / $830.31	Professional		$204.32	$346.06	$830.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.18 / $8,921.56 / $26,542.00	Facility		$1,551.18	$8,921.56	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $340.26 / $735.54 / $2,803.36	Professional		$340.26	$735.54	$2,803.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $3,302.92	Facility		$1,394.89	$1,698.13	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.92 / $502.84 / $1,064.32	Professional		$261.92	$502.84	$1,064.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $274.68 / $502.58 / $2,793.98	Facility		$274.68	$502.58	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $486.57 / $1,130.18	Professional		$268.35	$486.57	$1,130.18
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 $394.76 / $645.80 / $762.46	Facility		$394.76	$645.80	$762.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.25 / $1,140.42 / $1,994.21	Facility		$513.25	$1,140.42	$1,994.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.01 / $577.51 / $953.30	Professional		$361.01	$577.51	$953.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,124.02 / $17,453.22	Facility		$6,812.14	$9,124.02	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $594.61 / $864.31	Professional		$361.63	$594.61	$864.31
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 $367.82 / $594.11 / $1,083.94	Professional		$367.82	$594.11	$1,083.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.13 / $309.20 / $422.30	Professional		$243.13	$309.20	$422.30