Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.27 / $5,128.00 / $20,680.40	Facility		$885.27	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.64 / $618.91 / $1,291.21	Professional		$447.64	$618.91	$1,291.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $8,622.02 / $17,546.59	Facility		$986.25	$8,622.02	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $691.96 / $1,126.68 / $4,284.14	Professional		$691.96	$1,126.68	$4,284.14
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 $472.13 / $873.80 / $1,491.77	Professional		$472.13	$873.80	$1,491.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $476.76 / $977.12 / $3,280.24	Facility		$476.76	$977.12	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.90 / $966.23 / $2,824.57	Professional		$452.90	$966.23	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $288.03 / $977.02	Professional		$73.20	$288.03	$977.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.24 / $872.34 / $985.57	Facility		$636.24	$872.34	$985.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.53 / $672.25 / $2,961.46	Facility		$645.53	$672.25	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.35 / $1,069.42 / $1,334.34	Professional		$744.35	$1,069.42	$1,334.34
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 $658.35 / $956.85 / $1,275.11	Professional		$658.35	$956.85	$1,275.11
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 $557.96 / $736.03 / $1,376.56	Professional		$557.96	$736.03	$1,376.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.41 / $409.41 / $538.60	Professional		$409.41	$409.41	$538.60