Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $1,606.99 / $12,214.00	Facility		$699.00	$1,606.99	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.41 / $645.50 / $1,434.44	Professional		$441.41	$645.50	$1,434.44
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 $708.48 / $1,330.02 / $4,718.72	Professional		$708.48	$1,330.02	$4,718.72
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 $617.96 / $956.76 / $1,714.47	Professional		$617.96	$956.76	$1,714.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $647.54 / $1,075.03 / $1,732.42	Facility		$647.54	$1,075.03	$1,732.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.50 / $1,093.03 / $1,732.42	Professional		$697.50	$1,093.03	$1,732.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $301.95 / $1,290.01	Professional		$71.55	$301.95	$1,290.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $836.00 / $1,178.96 / $1,435.73	Facility		$836.00	$1,178.96	$1,435.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $878.35 / $1,040.51	Facility		$759.83	$878.35	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.40 / $1,183.13 / $1,610.06	Professional		$714.40	$1,183.13	$1,610.06
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 $681.91 / $988.73 / $1,535.37	Professional		$681.91	$988.73	$1,535.37
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 $751.38 / $930.28 / $1,840.24	Professional		$751.38	$930.28	$1,840.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $556.03 / $556.03 / $711.51	Professional		$556.03	$556.03	$711.51