Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.38 / $2,769.52 / $18,711.00	Facility		$475.38	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.71 / $353.40 / $764.84	Professional		$250.71	$353.40	$764.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,076.82 / $4,594.55 / $11,500.00	Facility		$2,076.82	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $573.04 / $4,043.34	Professional		$381.70	$573.04	$4,043.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $484.09 / $810.39	Professional		$283.27	$484.09	$810.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $300.70 / $596.74 / $1,436.99	Facility		$300.70	$596.74	$1,436.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.16 / $562.84 / $1,258.98	Professional		$287.16	$562.84	$1,258.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $354.77 / $623.84	Professional		$62.59	$354.77	$623.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.03 / $505.88 / $626.28	Facility		$374.03	$505.88	$626.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.73 / $349.61 / $1,323.75	Facility		$344.73	$349.61	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.11 / $563.14 / $693.93	Professional		$395.11	$563.14	$693.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $351.58 / $502.91 / $676.72	Professional		$351.58	$502.91	$676.72
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.96 / $555.44 / $780.14	Professional		$328.96	$555.44	$780.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $213.96 / $271.57	Professional		$213.96	$213.96	$271.57