Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.84 / $2,291.00 / $18,711.00	Facility		$472.84	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $338.57 / $687.62	Professional		$241.44	$338.57	$687.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,861.10 / $21,337.39	Facility		$55.00	$13,861.10	$21,337.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $394.01 / $604.16 / $2,190.23	Professional		$394.01	$604.16	$2,190.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $6,405.36	Facility		$500.00	$870.49	$6,405.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $471.69 / $777.11	Professional		$284.00	$471.69	$777.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $320.04 / $634.69 / $6,684.73	Facility		$320.04	$634.69	$6,684.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $556.07 / $5,081.79	Professional		$254.70	$556.07	$5,081.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $419.05 / $705.43	Professional		$69.36	$419.05	$705.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.63 / $501.11 / $516.12	Facility		$385.63	$501.11	$516.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.55 / $1,679.99 / $5,937.23	Facility		$346.55	$1,679.99	$5,937.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.20 / $583.61 / $704.41	Professional		$367.20	$583.61	$704.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,473.20 / $16,151.01 / $30,895.07	Facility		$10,473.20	$16,151.01	$30,895.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $409.28 / $506.20 / $666.82	Professional		$409.28	$506.20	$666.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $20,542.32 / $30,482.02	Facility		$1,120.00	$20,542.32	$30,482.02
United Facility/Professional Professional Modifier Low / Median / High Price $289.63 / $453.60 / $740.53	Professional		$289.63	$453.60	$740.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.85 / $270.82 / $270.82	Professional		$212.85	$270.82	$270.82