Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.43 / $4,500.00 / $20,680.40	Facility		$364.43	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $267.87 / $498.03	Professional		$182.84	$267.87	$498.03
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 $284.13 / $464.87 / $1,709.85	Professional		$284.13	$464.87	$1,709.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,302.92	Facility		$714.97	$918.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $369.23 / $604.85	Professional		$211.37	$369.23	$604.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $413.86 / $3,021.20	Facility		$216.86	$413.86	$3,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.98 / $383.56 / $2,225.36	Professional		$183.98	$383.56	$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 $276.36 / $363.14 / $397.31	Facility		$276.36	$363.14	$397.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.66 / $1,140.42 / $1,994.21	Facility		$258.66	$1,140.42	$1,994.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.95 / $445.89 / $537.91	Professional		$278.95	$445.89	$537.91
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 $305.49 / $387.99 / $506.00	Professional		$305.49	$387.99	$506.00
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 $210.60 / $317.26 / $556.70	Professional		$210.60	$317.26	$556.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $217.99 / $217.99	Professional		$164.54	$217.99	$217.99