Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.49 / $2,769.52 / $18,711.00	Facility		$655.49	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $448.61 / $1,086.93	Professional		$340.97	$448.61	$1,086.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $492.19 / $2,639.37 / $12,000.00	Facility		$492.19	$2,639.37	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $543.41 / $827.64 / $3,135.38	Professional		$543.41	$827.64	$3,135.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $500.00 / $568.48	Facility		$466.83	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $667.20 / $1,075.59	Professional		$389.59	$667.20	$1,075.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $359.80 / $716.89 / $906.37	Facility		$359.80	$716.89	$906.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.69 / $713.52 / $929.98	Professional		$351.69	$713.52	$929.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $496.74 / $870.29	Professional		$87.67	$496.74	$870.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $692.56 / $728.28	Facility		$534.66	$692.56	$728.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.16 / $485.16 / $492.19	Facility		$485.16	$485.16	$492.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.34 / $782.98 / $976.95	Professional		$552.34	$782.98	$976.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,732.95 / $5,732.95 / $7,222.64	Facility		$5,732.95	$5,732.95	$7,222.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $700.56 / $943.44	Professional		$494.80	$700.56	$943.44
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.31 / $594.72 / $1,037.92	Professional		$455.31	$594.72	$1,037.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $299.26 / $299.26 / $376.80	Professional		$299.26	$299.26	$376.80