Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.55 / $2,769.52 / $18,711.00	Facility		$579.55	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $396.82 / $851.43	Professional		$289.02	$396.82	$851.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $60,617.23 / $118,585.34	Facility		$11,500.00	$60,617.23	$118,585.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.40 / $728.12 / $8,263.84	Professional		$454.40	$728.12	$8,263.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $47,839.89	Facility		$466.83	$568.48	$47,839.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.29 / $565.08 / $958.48	Professional		$316.29	$565.08	$958.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $319.29 / $651.25 / $37,954.51	Facility		$319.29	$651.25	$37,954.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.50 / $634.37 / $36,126.19	Professional		$293.50	$634.37	$36,126.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $252.06 / $646.91	Professional		$58.48	$252.06	$646.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $427.28 / $582.23 / $639.17	Facility		$427.28	$582.23	$639.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.82 / $435.98 / $32,267.30	Facility		$425.82	$435.98	$32,267.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.96 / $695.60 / $865.37	Professional		$485.96	$695.60	$865.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40,810.33 / $61,957.43 / $118,585.34	Facility		$40,810.33	$61,957.43	$118,585.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $434.28 / $620.55 / $832.48	Professional		$434.28	$620.55	$832.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.50 / $520.25 / $898.69	Professional		$376.50	$520.25	$898.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $265.02 / $342.15	Professional		$265.02	$265.02	$342.15