Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.56 / $4,500.00 / $20,680.40	Facility		$458.56	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $337.52 / $632.54	Professional		$231.05	$337.52	$632.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $8,552.21 / $26,542.00	Facility		$1,140.42	$8,552.21	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $351.39 / $584.99 / $2,149.80	Professional		$351.39	$584.99	$2,149.80
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 $271.77 / $458.80 / $759.73	Professional		$271.77	$458.80	$759.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $535.30 / $3,021.20	Facility		$276.14	$535.30	$3,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $495.90 / $2,225.36	Professional		$231.23	$495.90	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $351.53 / $602.91	Professional		$58.11	$351.53	$602.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.76 / $464.98 / $500.49	Facility		$354.76	$464.98	$500.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.07 / $904.15 / $1,781.59	Facility		$327.07	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.39 / $562.30 / $677.60	Professional		$351.39	$562.30	$677.60
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 $386.27 / $489.29 / $638.25	Professional		$386.27	$489.29	$638.25
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 $268.70 / $453.40 / $713.52	Professional		$268.70	$453.40	$713.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.88 / $272.67 / $272.67	Professional		$207.88	$272.67	$272.67