Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.30 / $3,810.00 / $18,711.00	Facility		$497.30	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.48 / $361.19 / $812.64	Professional		$269.48	$361.19	$812.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,193.67 / $16,394.00 / $28,324.73	Facility		$2,193.67	$16,394.00	$28,324.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $669.33 / $2,308.05	Professional		$402.00	$669.33	$2,308.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $7,511.25	Facility		$625.25	$761.81	$7,511.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.37 / $526.57 / $814.21	Professional		$310.37	$526.57	$814.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $349.31 / $702.09 / $6,870.56	Facility		$349.31	$702.09	$6,870.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.75 / $632.98 / $5,060.72	Professional		$294.75	$632.98	$5,060.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $416.06 / $706.33	Professional		$69.23	$416.06	$706.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.70 / $533.23 / $605.92	Facility		$447.70	$533.23	$605.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.04 / $1,217.41 / $2,583.64	Facility		$361.04	$1,217.41	$2,583.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.60 / $618.61 / $743.18	Professional		$392.60	$618.61	$743.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,480.79 / $20,921.68 / $41,012.25	Facility		$8,480.79	$20,921.68	$41,012.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $535.13 / $704.92	Professional		$426.40	$535.13	$704.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.44 / $483.36 / $784.94	Professional		$310.44	$483.36	$784.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $281.98 / $281.98	Professional		$227.48	$281.98	$281.98