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 $295.08 / $431.96 / $875.69	Professional		$295.08	$431.96	$875.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,195.26 / $4,857.08 / $9,885.68	Facility		$1,195.26	$4,857.08	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $786.91 / $2,975.25	Professional		$473.00	$786.91	$2,975.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,323.83	Facility		$466.83	$568.48	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.56 / $602.23 / $1,017.80	Professional		$327.56	$602.23	$1,017.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $361.92 / $681.50 / $2,037.92	Facility		$361.92	$681.50	$2,037.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $660.82 / $1,565.69	Professional		$316.02	$660.82	$1,565.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.74 / $472.78 / $817.08	Professional		$79.74	$472.78	$817.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $458.64 / $631.80 / $678.04	Facility		$458.64	$631.80	$678.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.83 / $911.96 / $1,393.64	Facility		$449.83	$911.96	$1,393.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.04 / $760.14 / $917.99	Professional		$476.04	$760.14	$917.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,266.45 / $9,997.92	Facility		$3,351.17	$5,266.45	$9,997.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $531.26 / $664.43 / $869.31	Professional		$531.26	$664.43	$869.31
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 $352.28 / $552.15 / $956.28	Professional		$352.28	$552.15	$956.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.31 / $364.21 / $364.21	Professional		$281.31	$364.21	$364.21