Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.99 / $794.84 / $13,809.00	Facility		$358.99	$794.84	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.22 / $372.46 / $745.44	Professional		$189.22	$372.46	$745.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.60 / $14,087.45 / $26,963.11	Facility		$1,331.60	$14,087.45	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $467.49 / $750.90 / $4,954.00	Professional		$467.49	$750.90	$4,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $5,271.55 / $5,271.55	Facility		$3,164.22	$5,271.55	$5,271.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $722.87 / $1,205.90	Professional		$393.88	$722.87	$1,205.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.06 / $690.69 / $4,503.49	Facility		$354.06	$690.69	$4,503.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.78 / $669.80 / $1,245.93	Professional		$375.78	$669.80	$1,245.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $659.86 / $1,077.81	Professional		$103.72	$659.86	$1,077.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.53 / $730.30 / $801.99	Facility		$472.53	$730.30	$801.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.39 / $547.03 / $1,964.09	Facility		$526.39	$547.03	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.17 / $714.49 / $1,002.73	Professional		$506.17	$714.49	$1,002.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,087.45 / $26,963.11	Facility		$8,791.87	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $454.49 / $656.35 / $926.48	Professional		$454.49	$656.35	$926.48
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.60 / $836.95 / $1,146.05	Professional		$479.60	$836.95	$1,146.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $444.29	Professional		$306.17	$306.17	$444.29