Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.92 / $1,100.31 / $18,711.00	Facility		$381.92	$1,100.31	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.96 / $560.95 / $1,217.94	Professional		$206.96	$560.95	$1,217.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $818.12 / $4,857.60 / $9,885.68	Facility		$818.12	$4,857.60	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $357.46 / $1,045.80 / $4,557.05	Professional		$357.46	$1,045.80	$4,557.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $566.51 / $1,621.81	Professional		$266.77	$566.51	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $262.11 / $557.20 / $1,563.07	Facility		$262.11	$557.20	$1,563.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.11 / $528.22 / $1,473.99	Professional		$262.11	$528.22	$1,473.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $608.48 / $1,293.05	Professional		$45.89	$608.48	$1,293.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.67 / $913.11 / $1,155.75	Facility		$402.67	$913.11	$1,155.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.33 / $788.33 / $818.12	Facility		$788.33	$788.33	$818.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.24 / $677.58 / $1,462.79	Professional		$348.24	$677.58	$1,462.79
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 $331.88 / $709.21 / $1,415.36	Professional		$331.88	$709.21	$1,415.36
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.08 / $752.22 / $1,694.45	Professional		$496.08	$752.22	$1,694.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.57 / $458.83 / $627.64	Professional		$221.57	$458.83	$627.64