Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.17 / $6,349.00 / $98,050.43	Facility		$665.17	$6,349.00	$98,050.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $456.84 / $942.86	Professional		$333.90	$456.84	$942.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $86,045.81 / $168,331.20	Facility		$11,500.00	$86,045.81	$168,331.20
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $8,494.89 / $14,129.69 / $14,129.69	Facility	AS	$8,494.89	$14,129.69	$14,129.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $518.23 / $834.57 / $13,506.61	Professional		$518.23	$834.57	$13,506.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $50,000.00	Facility		$625.25	$761.81	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.98 / $645.14 / $1,032.13	Professional		$382.98	$645.14	$1,032.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $402.18 / $796.67 / $53,814.07	Facility		$402.18	$796.67	$53,814.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $770.41 / $47,008.91	Professional		$384.54	$770.41	$47,008.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $357.35 / $753.89	Professional		$48.75	$357.35	$753.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.36 / $659.86 / $726.24	Facility		$521.36	$659.86	$726.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.80 / $485.16 / $53,167.56	Facility		$469.80	$485.16	$53,167.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.96 / $783.64 / $938.53	Professional		$556.96	$783.64	$938.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57,122.37 / $87,998.50 / $168,331.20	Facility		$57,122.37	$87,998.50	$168,331.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $684.92 / $926.42	Professional		$494.80	$684.92	$926.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $12,133.00 / $35,976.00	Facility		$4,252.00	$12,133.00	$35,976.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.80 / $604.36 / $1,046.60	Professional		$414.80	$604.36	$1,046.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $283.80 / $363.50	Professional		$283.80	$283.80	$363.50