Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $10,700.00 / $22,024.00	Facility		$367.50	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $1,485.12	Professional		$367.50	$367.50	$1,485.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $5,367.06 / $11,429.12	Facility		$3,327.80	$5,367.06	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $944.35 / $1,111.00 / $1,111.00	Professional		$944.35	$1,111.00	$1,111.00
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
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,176.14 / $1,749.26 / $5,601.66	Facility		$1,176.14	$1,749.26	$5,601.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.24 / $1,647.45 / $2,605.67	Professional		$979.24	$1,647.45	$2,605.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,428.87 / $1,428.87 / $4,413.00	Facility		$1,428.87	$1,428.87	$4,413.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,040.51 / $1,040.51	Facility		$759.83	$1,040.51	$1,040.51
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 $1,055.45 / $1,111.00 / $1,111.00	Professional		$1,055.45	$1,111.00	$1,111.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,201.04 / $10,259.98	Facility		$1,050.00	$6,201.04	$10,259.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $211.15 / $211.15	Professional		$211.15	$211.15	$211.15