Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.64 / $5,116.62 / $22,024.00	Facility		$503.64	$5,116.62	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.33 / $503.64 / $1,124.08	Professional		$376.33	$503.64	$1,124.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,929.39 / $5,167.93 / $11,500.00	Facility		$1,929.39	$5,167.93	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $570.60 / $930.00 / $3,489.98	Professional		$570.60	$930.00	$3,489.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $2,323.83	Facility		$883.20	$1,075.31	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.88 / $726.90 / $1,232.07	Professional		$419.88	$726.90	$1,232.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.46 / $867.08 / $2,037.92	Facility		$426.46	$867.08	$2,037.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.51 / $830.50 / $1,754.83	Professional		$393.51	$830.50	$1,754.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $407.19 / $893.90	Professional		$75.26	$407.19	$893.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $757.77 / $812.71	Facility		$566.00	$757.77	$812.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.63 / $554.34 / $1,929.39	Facility		$533.63	$554.34	$1,929.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.10 / $881.85 / $1,100.31	Professional		$618.10	$881.85	$1,100.31
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 $544.24 / $789.04 / $1,050.46	Professional		$544.24	$789.04	$1,050.46
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 $484.54 / $617.11 / $1,110.79	Professional		$484.54	$617.11	$1,110.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.25 / $336.25 / $439.61	Professional		$336.25	$336.25	$439.61