Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.57 / $2,291.00 / $18,711.00	Facility		$329.57	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $247.04 / $469.38	Professional		$152.09	$247.04	$469.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.56 / $7,929.30 / $12,000.00	Facility		$1,790.56	$7,929.30	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $426.80 / $1,600.80	Professional		$256.37	$426.80	$1,600.80
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 $189.35 / $333.59 / $547.47	Professional		$189.35	$333.59	$547.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.05 / $363.22 / $3,028.83	Facility		$207.05	$363.22	$3,028.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $352.95 / $2,230.98	Professional		$176.75	$352.95	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $257.83 / $441.93	Professional		$42.71	$257.83	$441.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $244.19 / $337.68 / $365.15	Facility		$244.19	$337.68	$365.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.36 / $1,208.98 / $2,476.09	Facility		$242.36	$1,208.98	$2,476.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $409.36 / $494.37	Professional		$256.80	$409.36	$494.37
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 $286.22 / $357.82 / $468.16	Professional		$286.22	$357.82	$468.16
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 $187.48 / $295.89 / $519.42	Professional		$187.48	$295.89	$519.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $196.39 / $196.39	Professional		$152.38	$196.39	$196.39