Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.24 / $707.24 / $707.24	Facility		$707.24	$707.24	$707.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $678.35 / $800.06	Professional		$83.39	$678.35	$800.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,265.89 / $4,811.05 / $9,885.68	Facility		$1,265.89	$4,811.05	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $1,589.54 / $6,677.85	Professional		$230.26	$1,589.54	$6,677.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $288.89 / $1,749.26	Facility		$152.68	$288.89	$1,749.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $279.04 / $824.60	Professional		$148.96	$279.04	$824.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $80.00	Professional		$50.00	$60.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $124.47 / $1,536.98	Facility		$121.43	$124.47	$1,536.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.18 / $1,039.18 / $1,048.35	Facility		$1,039.18	$1,039.18	$1,048.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.20 / $1,662.23 / $2,089.15	Professional		$607.20	$1,662.23	$2,089.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $417.70 / $1,432.68 / $1,896.68	Professional		$417.70	$1,432.68	$1,896.68
United Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $313.77 / $2,091.44	Professional		$90.53	$313.77	$2,091.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00