Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.04 / $10,122.46 / $27,982.24	Facility		$300.04	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $348.42 / $490.67	Professional		$300.04	$348.42	$490.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,971.38 / $19,913.50 / $38,781.51	Facility		$11,971.38	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $507.28 / $832.42 / $3,098.48	Professional		$507.28	$832.42	$3,098.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $498.07 / $942.44 / $17,997.75	Facility		$498.07	$942.44	$17,997.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.42 / $837.68 / $6,597.50	Professional		$480.42	$837.68	$6,597.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $547.61 / $959.61	Professional		$96.56	$547.61	$959.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $552.80 / $712.44 / $764.47	Facility		$552.80	$712.44	$764.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.39 / $500.42 / $6,526.97	Facility		$497.39	$500.42	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.95 / $796.07 / $993.27	Professional		$546.95	$796.07	$993.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $507.28 / $699.54 / $963.70	Professional		$507.28	$699.54	$963.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.92 / $613.30 / $1,056.27	Professional		$451.92	$613.30	$1,056.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $302.02 / $302.02	Professional		$302.02	$302.02	$302.02