Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.01 / $7,920.26 / $18,711.00	Facility		$377.01	$7,920.26	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.52 / $369.62 / $781.01	Professional		$241.52	$369.62	$781.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,722.80 / $16,547.20 / $26,542.00	Facility		$3,722.80	$16,547.20	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $395.02 / $642.57 / $2,350.94	Professional		$395.02	$642.57	$2,350.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $6,910.09	Facility		$883.20	$1,075.31	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $491.96 / $831.44	Professional		$290.00	$491.96	$831.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $300.52 / $577.64 / $6,320.69	Facility		$300.52	$577.64	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.76 / $539.13 / $4,655.70	Professional		$253.76	$539.13	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $392.32 / $697.98	Professional		$65.68	$392.32	$697.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.29 / $505.85 / $547.39	Facility		$407.29	$505.85	$547.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.68 / $1,994.21 / $3,953.90	Facility		$359.68	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.32 / $616.33 / $741.10	Professional		$384.32	$616.33	$741.10
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 $424.79 / $536.29 / $697.14	Professional		$424.79	$536.29	$697.14
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 $289.94 / $481.27 / $821.76	Professional		$289.94	$481.27	$821.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.20 / $298.63 / $298.63	Professional		$227.20	$298.63	$298.63