Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.29 / $1,280.97 / $17,100.00	Facility		$612.29	$1,280.97	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $455.37 / $1,149.59	Professional		$288.75	$455.37	$1,149.59
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 $470.64 / $1,028.55 / $3,863.28	Professional		$470.64	$1,028.55	$3,863.28
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 $414.27 / $704.01 / $1,396.26	Professional		$414.27	$704.01	$1,396.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.50 / $748.14 / $1,918.07	Facility		$444.50	$748.14	$1,918.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.36 / $769.21 / $1,695.00	Professional		$459.36	$769.21	$1,695.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $283.41 / $1,027.59	Professional		$38.68	$283.41	$1,027.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $657.58 / $1,059.27 / $2,016.07	Facility		$657.58	$1,059.27	$2,016.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.27 / $722.52 / $1,241.82	Facility		$720.27	$722.52	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.94 / $812.79 / $1,324.40	Professional		$470.94	$812.79	$1,324.40
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 $452.30 / $734.58 / $1,223.69	Professional		$452.30	$734.58	$1,223.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $2,442.67 / $10,522.00	Facility		$1,232.00	$2,442.67	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.19 / $786.49 / $1,535.16	Professional		$595.19	$786.49	$1,535.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.51 / $363.51 / $586.48	Professional		$363.51	$363.51	$586.48