Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.38 / $6,470.00 / $20,680.40	Facility		$273.38	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $238.14 / $521.24	Professional		$169.08	$238.14	$521.24
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 $282.02 / $473.38 / $1,746.90	Professional		$282.02	$473.38	$1,746.90
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 $213.75 / $376.53 / $617.95	Professional		$213.75	$376.53	$617.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $221.74 / $411.35 / $3,021.20	Facility		$221.74	$411.35	$3,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.97 / $388.04 / $2,225.36	Professional		$184.97	$388.04	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $272.63 / $460.67	Professional		$45.17	$272.63	$460.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.80 / $369.17 / $406.02	Facility		$280.80	$369.17	$406.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.55 / $904.15 / $1,781.59	Facility		$264.55	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.06 / $455.02 / $549.70	Professional		$285.06	$455.02	$549.70
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 $312.44 / $395.94 / $517.09	Professional		$312.44	$395.94	$517.09
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 $214.89 / $330.59 / $577.38	Professional		$214.89	$330.59	$577.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $222.55 / $222.55	Professional		$168.13	$222.55	$222.55