Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.26 / $1,190.63 / $17,930.00	Facility		$620.26	$1,190.63	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $445.32 / $1,040.67	Professional		$301.50	$445.32	$1,040.67
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 $482.88 / $934.38 / $3,449.60	Professional		$482.88	$934.38	$3,449.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.25 / $689.46 / $1,239.04	Professional		$432.25	$689.46	$1,239.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $445.95 / $751.52 / $1,565.69	Facility		$445.95	$751.52	$1,565.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $780.74 / $1,485.00	Professional		$484.00	$780.74	$1,485.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $270.74 / $929.63	Professional		$38.55	$270.74	$929.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $566.58 / $858.86 / $935.99	Facility		$566.58	$858.86	$935.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.70 / $638.42 / $1,040.51	Facility		$619.70	$638.42	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.86 / $813.93 / $1,170.27	Professional		$487.86	$813.93	$1,170.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.77 / $682.39 / $1,088.85	Professional		$464.77	$682.39	$1,088.85
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 $548.52 / $682.65 / $1,339.16	Professional		$548.52	$682.65	$1,339.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.17 / $383.17 / $521.67	Professional		$383.17	$383.17	$521.67