Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.85 / $4,500.00 / $20,680.40	Facility		$592.85	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.60 / $425.90 / $957.88	Professional		$322.60	$425.90	$957.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,970.14 / $10,768.81 / $26,542.00	Facility		$2,970.14	$10,768.81	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $498.80 / $797.02 / $2,751.23	Professional		$498.80	$797.02	$2,751.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $5,060.14	Facility		$714.97	$918.00	$5,060.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.39 / $600.89 / $968.69	Professional		$342.39	$600.89	$968.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.08 / $776.19 / $4,628.54	Facility		$398.08	$776.19	$4,628.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.22 / $709.00 / $3,409.30	Professional		$335.22	$709.00	$3,409.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $523.57 / $888.38	Professional		$86.91	$523.57	$888.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $534.04 / $633.58 / $720.25	Facility		$534.04	$633.58	$720.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.62 / $1,217.41 / $3,448.37	Facility		$432.62	$1,217.41	$3,448.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.90 / $738.83 / $890.14	Professional		$468.90	$738.83	$890.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $18,754.53	Facility		$6,718.33	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $510.93 / $638.33 / $837.74	Professional		$510.93	$638.33	$837.74
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 $379.52 / $596.75 / $937.49	Professional		$379.52	$596.75	$937.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.55 / $332.71 / $332.71	Professional		$270.55	$332.71	$332.71