Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.54 / $11,522.02 / $22,024.00	Facility		$392.54	$11,522.02	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.43 / $392.54 / $1,479.41	Professional		$344.43	$392.54	$1,479.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $8,969.28 / $17,546.59	Facility		$5,490.98	$8,969.28	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $556.05 / $934.35 / $3,708.98	Professional		$556.05	$934.35	$3,708.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,099.35 / $2,892.28 / $13,219.01	Facility		$2,099.35	$2,892.28	$13,219.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,622.78 / $2,806.97 / $3,903.57	Professional		$1,622.78	$2,806.97	$3,903.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $2,163.44 / $3,000.48	Facility		$748.00	$2,163.44	$3,000.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.36 / $580.85 / $2,961.46	Facility		$507.36	$580.85	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.85 / $852.97 / $1,152.92	Professional		$580.85	$852.97	$1,152.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $517.44 / $787.48 / $1,294.75	Professional		$517.44	$787.48	$1,294.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.60 / $651.19 / $1,125.03	Professional		$481.60	$651.19	$1,125.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $430.16 / $430.16 / $430.16	Professional		$430.16	$430.16	$430.16