Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,498.34 / $3,498.34 / $3,498.34	Facility		$3,498.34	$3,498.34	$3,498.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.54 / $3,356.63 / $3,999.67	Professional		$471.54	$3,356.63	$3,999.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,668.46 / $9,011.04 / $11,933.63	Facility		$2,668.46	$9,011.04	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $625.48 / $4,824.77	Professional		$351.12	$625.48	$4,824.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,013.30 / $8,495.26 / $12,840.60	Facility		$2,013.30	$8,495.26	$12,840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $475.67 / $822.59	Professional		$264.27	$475.67	$822.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.81 / $474.33 / $2,923.63	Facility		$95.81	$474.33	$2,923.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $397.87 / $693.44	Professional		$86.45	$397.87	$693.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $56.19 / $80.86	Professional		$24.26	$56.19	$80.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $44.08 / $261.45	Facility		$37.61	$44.08	$261.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.28 / $344.28 / $347.32	Facility		$344.28	$344.28	$347.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.39 / $596.52 / $723.52	Professional		$395.39	$596.52	$723.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,312.81 / $8,807.33 / $17,177.93	Facility		$3,312.81	$8,807.33	$17,177.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $522.20 / $715.69	Professional		$351.12	$522.20	$715.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,686.30 / $2,802.63 / $2,877.03	Facility		$2,686.30	$2,802.63	$2,877.03
United Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $1,905.10 / $7,714.37	Professional		$311.77	$1,905.10	$7,714.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $51.40 / $51.40	Professional		$51.40	$51.40	$51.40