Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.77 / $5,128.00 / $20,680.40	Facility		$713.77	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.86 / $542.91 / $1,094.22	Professional		$378.86	$542.91	$1,094.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,105.68 / $9,172.83 / $20,286.13	Facility		$4,105.68	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $554.46 / $848.78 / $4,725.46	Professional		$554.46	$848.78	$4,725.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.78 / $695.95 / $1,186.80	Professional		$406.78	$695.95	$1,186.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $406.72 / $825.15 / $3,280.24	Facility		$406.72	$825.15	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.97 / $806.20 / $2,824.57	Professional		$372.97	$806.20	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $306.54 / $811.05	Professional		$68.16	$306.54	$811.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.41 / $750.40 / $793.28	Facility		$543.41	$750.40	$793.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.59 / $541.09 / $4,105.68	Facility		$519.59	$541.09	$4,105.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.09 / $860.77 / $1,074.01	Professional		$599.09	$860.77	$1,074.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.91 / $770.96 / $1,026.08	Professional		$529.91	$770.96	$1,026.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.75 / $641.29 / $1,124.63	Professional		$474.75	$641.29	$1,124.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $329.90 / $424.65	Professional		$329.90	$329.90	$424.65