Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $3,568.00 / $12,967.50	Facility		$521.00	$3,568.00	$12,967.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $442.58 / $962.84	Professional		$305.23	$442.58	$962.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $456.17 / $4,306.60 / $8,788.86	Facility		$456.17	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $485.84 / $761.94 / $2,994.53	Professional		$485.84	$761.94	$2,994.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $870.49 / $1,677.65	Facility		$670.00	$870.49	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.22 / $613.11 / $1,040.40	Professional		$365.22	$613.11	$1,040.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.03 / $728.05 / $1,471.24	Facility		$363.03	$728.05	$1,471.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.10 / $719.28 / $1,266.88	Professional		$347.10	$719.28	$1,266.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $192.01 / $685.95	Professional		$38.55	$192.01	$685.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $493.71 / $653.25 / $689.43	Facility		$493.71	$653.25	$689.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $456.17 / $1,323.75	Facility		$440.84	$456.17	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.08 / $748.08 / $933.41	Professional		$524.08	$748.08	$933.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $465.23 / $669.35 / $891.11	Professional		$465.23	$669.35	$891.11
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.80 / $537.49 / $969.00	Professional		$388.80	$537.49	$969.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $286.27 / $373.19	Professional		$286.27	$286.27	$373.19