Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $1,301.38 / $17,100.00	Facility		$619.79	$1,301.38	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $534.91 / $1,271.14	Professional		$289.42	$534.91	$1,271.14
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 $474.72 / $1,030.50 / $3,917.04	Professional		$474.72	$1,030.50	$3,917.04
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 $416.77 / $712.83 / $1,415.15	Professional		$416.77	$712.83	$1,415.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.50 / $753.45 / $1,918.07	Facility		$446.50	$753.45	$1,918.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.88 / $773.71 / $1,720.31	Professional		$458.88	$773.71	$1,720.31
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 $677.82 / $1,072.67 / $2,070.83	Facility		$677.82	$1,072.67	$2,070.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.66 / $732.50 / $1,241.82	Facility		$731.66	$732.50	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.72 / $816.16 / $1,341.16	Professional		$474.72	$816.16	$1,341.16
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 $456.92 / $747.05 / $1,239.17	Professional		$456.92	$747.05	$1,239.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $731.26 / $1,556.38	Professional		$577.50	$731.26	$1,556.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.97 / $361.97 / $586.91	Professional		$361.97	$361.97	$586.91