Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.68 / $1,871.73 / $13,809.00	Facility		$755.68	$1,871.73	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.70 / $629.79 / $1,220.88	Professional		$358.70	$629.79	$1,220.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $634.26 / $1,265.67 / $4,784.39	Professional		$634.26	$1,265.67	$4,784.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,846.84	Facility		$564.00	$906.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $924.95 / $1,718.26	Professional		$522.16	$924.95	$1,718.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $593.28 / $1,022.88 / $2,018.24	Facility		$593.28	$1,022.88	$2,018.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $1,045.29 / $1,981.70	Professional		$611.32	$1,045.29	$1,981.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $947.86 / $1,659.60	Professional		$168.76	$947.86	$1,659.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $824.10 / $1,343.35 / $2,079.32	Facility		$824.10	$1,343.35	$2,079.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.91 / $892.98 / $1,241.82	Facility		$877.91	$892.98	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.52 / $1,007.80 / $1,636.87	Professional		$587.52	$1,007.80	$1,636.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $895.36 / $1,512.40	Professional		$565.49	$895.36	$1,512.40
United Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $9,876.54 / $16,373.27	Facility		$670.00	$9,876.54	$16,373.27
United Facility/Professional Professional Modifier Low / Median / High Price $831.62 / $1,041.09 / $1,887.54	Professional		$831.62	$1,041.09	$1,887.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $437.22 / $437.22 / $709.51	Professional		$437.22	$437.22	$709.51