Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.08 / $3,016.00 / $18,711.00	Facility		$513.08	$3,016.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $359.26 / $751.67	Professional		$271.50	$359.26	$751.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.26 / $5,068.58 / $16,394.00	Facility		$1,076.26	$5,068.58	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $411.01 / $660.03 / $2,371.80	Professional		$411.01	$660.03	$2,371.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,046.84	Facility		$625.25	$761.81	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.18 / $518.71 / $842.92	Professional		$321.18	$518.71	$842.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.96 / $636.72 / $2,097.69	Facility		$338.96	$636.72	$2,097.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $615.67 / $1,379.07	Professional		$277.14	$615.67	$1,379.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $472.96 / $801.54	Professional		$78.36	$472.96	$801.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.37 / $545.29 / $580.89	Facility		$447.37	$545.29	$580.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.44 / $608.39 / $1,167.02	Facility		$376.44	$608.39	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.77 / $633.07 / $764.11	Professional		$401.77	$633.07	$764.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $444.59 / $548.92 / $726.74	Professional		$444.59	$548.92	$726.74
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 $304.64 / $491.99 / $803.29	Professional		$304.64	$491.99	$803.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.62 / $294.48 / $294.48	Professional		$231.62	$294.48	$294.48