Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,291.00 / $18,711.00	Facility		$521.00	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $431.44 / $879.72	Professional		$308.45	$431.44	$879.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.15 / $5,201.18 / $12,000.00	Facility		$1,303.15	$5,201.18	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $502.46 / $788.54 / $2,871.83	Professional		$502.46	$788.54	$2,871.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,625.14	Facility		$466.83	$568.48	$2,625.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.30 / $598.04 / $1,008.98	Professional		$354.30	$598.04	$1,008.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $379.32 / $749.66 / $2,302.16	Facility		$379.32	$749.66	$2,302.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.42 / $697.16 / $1,768.69	Professional		$321.42	$697.16	$1,768.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $387.67 / $782.66	Professional		$51.28	$387.67	$782.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $490.44 / $649.23 / $670.00	Facility		$490.44	$649.23	$670.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.94 / $457.00 / $1,587.20	Facility		$443.94	$457.00	$1,587.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.87 / $756.33 / $907.10	Professional		$479.87	$756.33	$907.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.29 / $657.40 / $859.00	Professional		$524.29	$657.40	$859.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.40 / $544.91 / $946.45	Professional		$382.40	$544.91	$946.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $356.38 / $356.38	Professional		$276.89	$356.38	$356.38