Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.38 / $1,455.15 / $17,100.00	Facility		$648.38	$1,455.15	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $517.22 / $1,099.66	Professional		$307.69	$517.22	$1,099.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,167.93 / $11,429.12	Facility		$1,040.51	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $504.48 / $1,066.27 / $4,006.24	Professional		$504.48	$1,066.27	$4,006.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,323.83	Facility		$564.00	$906.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.32 / $749.25 / $1,450.53	Professional		$443.32	$749.25	$1,450.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $509.70 / $821.31 / $1,647.45	Facility		$509.70	$821.31	$1,647.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.95 / $847.87 / $1,591.52	Professional		$509.95	$847.87	$1,591.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $545.71 / $1,197.54	Professional		$45.48	$545.71	$1,197.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.66 / $1,029.52 / $1,435.73	Facility		$591.66	$1,029.52	$1,435.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.36 / $754.05 / $1,040.51	Facility		$748.36	$754.05	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.48 / $849.03 / $1,382.21	Professional		$504.48	$849.03	$1,382.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.56 / $763.22 / $1,277.09	Professional		$485.56	$763.22	$1,277.09
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.20 / $851.32 / $1,590.17	Professional		$617.20	$851.32	$1,590.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.16 / $378.16 / $607.04	Professional		$378.16	$378.16	$607.04