Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $594.77 / $14,464.32	Facility		$146.36	$594.77	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $210.38 / $503.58	Professional		$73.56	$210.38	$503.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $498.99 / $7,780.40 / $12,000.00	Facility		$498.99	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $498.95 / $2,016.88	Professional		$128.69	$498.95	$2,016.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,311.26	Facility		$466.83	$568.48	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $252.71 / $771.55	Professional		$103.99	$252.71	$771.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $290.16 / $2,495.04	Facility		$109.77	$290.16	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $242.68 / $841.20	Professional		$105.60	$242.68	$841.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $439.40 / $742.38	Professional		$70.91	$439.40	$742.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.71 / $451.52 / $550.74	Facility		$196.71	$451.52	$550.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.65 / $929.09 / $1,915.04	Facility		$375.65	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $322.88 / $725.90	Professional		$132.33	$322.88	$725.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,956.97 / $15,220.78	Facility		$5,159.74	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $296.37 / $630.49	Professional		$133.41	$296.37	$630.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $408.79 / $797.04	Professional		$268.26	$408.79	$797.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $222.24 / $307.62	Professional		$85.44	$222.24	$307.62