Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.06 / $3,810.00 / $18,711.00	Facility		$688.06	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.23 / $486.72 / $990.66	Professional		$329.23	$486.72	$990.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $16,394.00	Facility		$1,790.56	$7,929.30	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $867.93 / $4,015.48	Professional		$519.15	$867.93	$4,015.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,311.26	Facility		$625.25	$761.81	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.43 / $674.90 / $1,140.61	Professional		$383.43	$674.90	$1,140.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.12 / $769.95 / $3,028.83	Facility		$405.12	$769.95	$3,028.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.76 / $740.74 / $2,230.98	Professional		$355.76	$740.74	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $320.39 / $841.81	Professional		$69.52	$320.39	$841.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.91 / $705.51 / $761.12	Facility		$518.91	$705.51	$761.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.91 / $1,208.98 / $1,915.04	Facility		$506.91	$1,208.98	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.12 / $855.25 / $1,032.28	Professional		$537.12	$855.25	$1,032.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,324.56 / $7,956.97 / $15,220.78	Facility		$5,324.56	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $598.66 / $746.80 / $975.82	Professional		$598.66	$746.80	$975.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,431.00 / $8,535.00	Facility		$1,100.00	$2,431.00	$8,535.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $635.41 / $1,067.79	Professional		$406.00	$635.41	$1,067.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $407.10 / $407.10	Professional		$316.10	$407.10	$407.10