Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.83 / $10,122.46 / $22,024.00	Facility		$816.83	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $657.03 / $889.22	Professional		$412.89	$657.03	$889.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $38,581.23 / $53,671.00	Facility		$55.00	$38,581.23	$53,671.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $853.94 / $1,449.37 / $5,696.85	Professional		$853.94	$1,449.37	$5,696.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,009.00 / $2,349.00	Facility		$1,877.15	$2,009.00	$2,349.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.99 / $1,272.09 / $1,975.67	Professional		$628.99	$1,272.09	$1,975.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $703.92 / $1,416.82 / $21,931.96	Facility		$703.92	$1,416.82	$21,931.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.59 / $1,215.09 / $15,869.71	Professional		$562.59	$1,215.09	$15,869.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $805.72 / $1,002.97 / $1,307.83	Facility		$805.72	$1,002.97	$1,307.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.52 / $833.52 / $892.06	Facility		$833.52	$833.52	$892.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.92 / $1,400.06 / $1,770.66	Professional		$897.92	$1,400.06	$1,770.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,671.67 / $38,236.33 / $73,843.74	Facility		$22,671.67	$38,236.33	$73,843.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $984.40 / $1,199.76 / $1,591.60	Professional		$984.40	$1,199.76	$1,591.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $7,585.00 / $24,236.00	Facility		$2,100.00	$7,585.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.84 / $920.70 / $1,324.71	Professional		$496.84	$920.70	$1,324.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $742.11 / $742.11 / $742.11	Professional		$742.11	$742.11	$742.11