Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.37 / $1,345.90 / $17,100.00	Facility		$649.37	$1,345.90	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $467.55 / $1,022.06	Professional		$301.82	$467.55	$1,022.06
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 $499.56 / $1,055.43 / $4,034.64	Professional		$499.56	$1,055.43	$4,034.64
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 $446.98 / $735.15 / $1,453.59	Professional		$446.98	$735.15	$1,453.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $480.50 / $795.91 / $1,918.07	Facility		$480.50	$795.91	$1,918.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.38 / $816.60 / $1,752.45	Professional		$495.38	$816.60	$1,752.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.62 / $281.65 / $1,046.35	Professional		$38.62	$281.65	$1,046.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $695.80 / $1,102.15 / $2,016.07	Facility		$695.80	$1,102.15	$2,016.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.73 / $751.77 / $1,241.82	Facility		$744.73	$751.77	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.64 / $840.27 / $1,378.02	Professional		$500.64	$840.27	$1,378.02
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 $481.87 / $759.53 / $1,273.23	Professional		$481.87	$759.53	$1,273.23
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 $618.28 / $784.16 / $1,548.50	Professional		$618.28	$784.16	$1,548.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.94 / $382.94 / $603.53	Professional		$382.94	$382.94	$603.53