Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.41 / $10,700.00 / $22,024.00	Facility		$765.41	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $615.53 / $833.19	Professional		$412.89	$615.53	$833.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,486.75 / $39,420.33	Facility		$55.00	$13,486.75	$39,420.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $792.44 / $1,357.21 / $5,060.55	Professional		$792.44	$1,357.21	$5,060.55
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 $595.00 / $1,166.55 / $1,755.27	Professional		$595.00	$1,166.55	$1,755.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $695.26 / $1,509.14 / $5,167.68	Facility		$695.26	$1,509.14	$5,167.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.88 / $1,247.18 / $3,215.17	Professional		$665.88	$1,247.18	$3,215.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $614.02 / $877.17	Professional		$75.00	$614.02	$877.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.57 / $770.71 / $995.79	Facility		$616.57	$770.71	$995.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.97 / $780.97 / $792.44	Facility		$780.97	$780.97	$792.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.01 / $1,311.03 / $1,572.91	Professional		$816.01	$1,311.03	$1,572.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,479.97 / $28,466.04 / $55,801.25	Facility		$12,479.97	$28,466.04	$55,801.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $922.34 / $1,139.93 / $1,489.51	Professional		$922.34	$1,139.93	$1,489.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.91 / $934.90 / $1,589.84	Professional		$510.91	$934.90	$1,589.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $632.22 / $836.10 / $836.10	Professional		$632.22	$836.10	$836.10