Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.10 / $1,339.24 / $19,900.00	Facility		$676.10	$1,339.24	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.99 / $564.90 / $1,216.16	Professional		$353.99	$564.90	$1,216.16
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 $562.46 / $1,106.66 / $4,012.32	Professional		$562.46	$1,106.66	$4,012.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.70 / $1,413.00 / $2,323.83	Facility		$906.70	$1,413.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.90 / $769.00 / $1,446.22	Professional		$487.90	$769.00	$1,446.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $498.43 / $834.55 / $1,647.45	Facility		$498.43	$834.55	$1,647.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $854.56 / $1,585.51	Professional		$532.00	$854.56	$1,585.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $287.29 / $1,128.10	Professional		$38.68	$287.29	$1,128.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $624.72 / $956.76 / $1,096.11	Facility		$624.72	$956.76	$1,096.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.20 / $747.65 / $1,040.51	Facility		$687.20	$747.65	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.40 / $957.51 / $1,317.77	Professional		$573.40	$957.51	$1,317.77
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 $517.90 / $793.59 / $1,242.54	Professional		$517.90	$793.59	$1,242.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,412.34 / $10,464.70	Facility		$1,050.00	$6,412.34	$10,464.70
United Facility/Professional Professional Modifier Low / Median / High Price $609.44 / $769.78 / $1,544.71	Professional		$609.44	$769.78	$1,544.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $448.54 / $448.54 / $609.95	Professional		$448.54	$448.54	$609.95