Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $8,535.37 / $18,257.68	Facility		$392.50	$8,535.37	$18,257.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $293.19 / $659.70	Professional		$192.76	$293.19	$659.70
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 $309.06 / $506.62 / $1,870.13	Professional		$309.06	$506.62	$1,870.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,302.92	Facility		$883.20	$1,075.31	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $401.63 / $661.10	Professional		$233.59	$401.63	$661.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $238.62 / $456.41 / $3,021.20	Facility		$238.62	$456.41	$3,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $423.89 / $2,225.36	Professional		$200.88	$423.89	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $298.42 / $514.60	Professional		$49.24	$298.42	$514.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.47 / $399.99 / $434.83	Facility		$295.47	$399.99	$434.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.48 / $1,140.42 / $1,994.21	Facility		$284.48	$1,140.42	$1,994.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $486.98 / $588.71	Professional		$305.29	$486.98	$588.71
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 $335.98 / $423.74 / $553.78	Professional		$335.98	$423.74	$553.78
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 $232.05 / $346.72 / $617.92	Professional		$232.05	$346.72	$617.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $237.89 / $237.89	Professional		$180.27	$237.89	$237.89