Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.38 / $1,710.00 / $12,612.30	Facility		$254.38	$1,710.00	$12,612.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $263.62 / $714.16	Professional		$122.41	$263.62	$714.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $971.94 / $7,780.40 / $12,000.00	Facility		$971.94	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $605.66 / $2,315.60	Professional		$222.40	$605.66	$2,315.60
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 $173.52 / $382.45 / $882.91	Professional		$173.52	$382.45	$882.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $375.78 / $2,495.04	Facility		$181.54	$375.78	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $343.37 / $943.25	Professional		$173.31	$343.37	$943.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $279.34 / $733.57	Professional		$39.46	$279.34	$733.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $525.64 / $632.48	Facility		$279.39	$525.64	$632.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.41 / $929.09 / $1,915.04	Facility		$431.41	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.68 / $431.41 / $815.51	Professional		$228.68	$431.41	$815.51
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 $231.42 / $428.05 / $716.97	Professional		$231.42	$428.05	$716.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,038.00 / $9,506.99 / $14,042.73	Facility		$2,038.00	$9,506.99	$14,042.73
United Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $486.62 / $901.55	Professional		$293.97	$486.62	$901.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $256.74 / $351.79	Professional		$150.53	$256.74	$351.79