Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.13 / $4,500.00 / $20,680.40	Facility		$498.13	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $360.93 / $806.58	Professional		$271.23	$360.93	$806.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,302.86 / $17,986.75 / $28,324.73	Facility		$2,302.86	$17,986.75	$28,324.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $401.44 / $660.61 / $2,307.98	Professional		$401.44	$660.61	$2,307.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $7,511.25	Facility		$714.97	$918.00	$7,511.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $518.40 / $813.27	Professional		$305.56	$518.40	$813.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $348.18 / $700.55 / $6,870.56	Facility		$348.18	$700.55	$6,870.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.37 / $631.59 / $5,060.72	Professional		$290.37	$631.59	$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 $448.25 / $533.46 / $600.53	Facility		$448.25	$533.46	$600.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $1,481.16 / $3,156.23	Facility		$363.76	$1,481.16	$3,156.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.05 / $620.89 / $747.86	Professional		$394.05	$620.89	$747.86
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 $429.61 / $535.78 / $705.79	Professional		$429.61	$535.78	$705.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.56 / $498.28 / $787.85	Professional		$306.56	$498.28	$787.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $280.29 / $280.29	Professional		$228.03	$280.29	$280.29