Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.01 / $1,480.92 / $17,100.00	Facility		$799.01	$1,480.92	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $646.11 / $1,448.54	Professional		$394.63	$646.11	$1,448.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $804.53 / $1,848.40 / $3,936.16	Facility		$804.53	$1,848.40	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $1,220.22 / $4,336.64	Professional		$648.21	$1,220.22	$4,336.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $906.00	Facility		$511.44	$777.59	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.08 / $868.15 / $1,583.83	Professional		$557.08	$868.15	$1,583.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $534.89 / $853.86 / $1,425.01	Facility		$534.89	$853.86	$1,425.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.95 / $894.21 / $1,440.00	Professional		$540.95	$894.21	$1,440.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.96 / $297.73 / $1,211.79	Professional		$70.96	$297.73	$1,211.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $560.13 / $1,012.32 / $1,183.89	Facility		$560.13	$1,012.32	$1,183.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $804.53 / $807.52	Facility		$236.51	$804.53	$807.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $1,085.04 / $1,485.30	Professional		$656.16	$1,085.04	$1,485.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $905.90 / $1,445.52	Professional		$631.54	$905.90	$1,445.52
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.80 / $897.36 / $1,692.90	Professional		$670.80	$897.36	$1,692.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.98 / $506.98 / $653.39	Professional		$506.98	$506.98	$653.39