Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.03 / $5,128.00 / $20,680.40	Facility		$860.03	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $671.13 / $1,390.28	Professional		$485.63	$671.13	$1,390.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $727.54 / $4,453.57 / $8,712.50	Facility		$727.54	$4,453.57	$8,712.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $748.88 / $1,196.13 / $4,633.64	Professional		$748.88	$1,196.13	$4,633.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.21 / $947.26 / $1,613.65	Professional		$542.21	$947.26	$1,613.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $487.08 / $1,023.23 / $1,741.30	Facility		$487.08	$1,023.23	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.08 / $967.89 / $1,575.30	Professional		$487.08	$967.89	$1,575.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $301.83 / $1,032.04	Professional		$76.14	$301.83	$1,032.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $609.53 / $879.14 / $1,066.64	Facility		$609.53	$879.14	$1,066.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $700.79 / $1,613.81	Facility		$537.44	$700.79	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.54 / $1,157.38 / $1,444.10	Professional		$807.54	$1,157.38	$1,444.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $714.71 / $1,035.56 / $1,378.67	Professional		$714.71	$1,035.56	$1,378.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.48 / $843.60 / $1,486.67	Professional		$584.48	$843.60	$1,486.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $444.20 / $444.20 / $583.00	Professional		$444.20	$444.20	$583.00