Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.79 / $5,918.50 / $18,711.00	Facility		$617.79	$5,918.50	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $510.43 / $1,159.00	Professional		$218.11	$510.43	$1,159.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.07 / $10,166.93 / $19,448.18	Facility		$1,399.07	$10,166.93	$19,448.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $653.73 / $1,139.10 / $4,200.83	Professional		$653.73	$1,139.10	$4,200.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $4,636.17	Facility		$644.92	$1,110.00	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.26 / $827.89 / $1,463.15	Professional		$546.26	$827.89	$1,463.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $625.40 / $1,055.83 / $4,240.71	Facility		$625.40	$1,055.83	$4,240.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.04 / $1,097.71 / $4,065.76	Professional		$659.04	$1,097.71	$4,065.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $379.89 / $1,065.46	Professional		$70.83	$379.89	$1,065.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.94 / $941.61 / $970.16	Facility		$676.94	$941.61	$970.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $661.74 / $1,961.22	Facility		$641.00	$661.74	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.79 / $1,094.94 / $1,313.48	Professional		$662.79	$1,094.94	$1,313.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,418.65 / $10,161.12 / $19,448.18	Facility		$7,418.65	$10,161.12	$19,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $646.09 / $899.95 / $1,239.43	Professional		$646.09	$899.95	$1,239.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,428.00 / $11,941.00	Facility		$1,403.00	$2,428.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.98 / $741.65 / $1,392.23	Professional		$595.98	$741.65	$1,392.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.79 / $522.79 / $522.79	Professional		$522.79	$522.79	$522.79