Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.09 / $1,685.91 / $14,464.32	Facility		$831.09	$1,685.91	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.59 / $681.27 / $1,419.41	Professional		$456.59	$681.27	$1,419.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $409.68 / $4,844.06 / $9,885.68	Facility		$409.68	$4,844.06	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $734.88 / $1,370.22 / $5,064.29	Professional		$734.88	$1,370.22	$5,064.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $824.40	Facility		$421.10	$731.00	$824.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.71 / $993.36 / $1,775.59	Professional		$641.71	$993.36	$1,775.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.44 / $977.18 / $1,614.37	Facility		$584.44	$977.18	$1,614.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.38 / $1,003.89 / $1,614.37	Professional		$619.38	$1,003.89	$1,614.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $304.18 / $1,288.16	Professional		$71.55	$304.18	$1,288.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $769.44 / $1,190.14 / $1,284.39	Facility		$769.44	$1,190.14	$1,284.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $840.77 / $876.07	Facility		$328.44	$840.77	$876.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.42 / $1,227.56 / $1,605.87	Professional		$745.42	$1,227.56	$1,605.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.32 / $1,021.94 / $1,530.41	Professional		$707.32	$1,021.94	$1,530.41
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 $769.56 / $1,035.94 / $1,825.77	Professional		$769.56	$1,035.94	$1,825.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $576.26 / $576.26 / $704.90	Professional		$576.26	$576.26	$704.90