Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.19 / $1,391.71 / $17,930.00	Facility		$711.19	$1,391.71	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.19 / $614.35 / $1,369.33	Professional		$403.19	$614.35	$1,369.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $725.71 / $4,306.60 / $8,788.86	Facility		$725.71	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $674.88 / $1,067.55 / $3,968.64	Professional		$674.88	$1,067.55	$3,968.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $743.94 / $870.49	Facility		$670.00	$743.94	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.64 / $859.12 / $1,531.03	Professional		$477.64	$859.12	$1,531.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $460.04 / $796.28 / $1,309.27	Facility		$460.04	$796.28	$1,309.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.57 / $787.26 / $1,279.55	Professional		$459.57	$787.26	$1,279.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $329.32 / $1,071.32	Professional		$77.64	$329.32	$1,071.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $717.57 / $992.94 / $1,082.72	Facility		$717.57	$992.94	$1,082.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.86 / $725.71 / $738.51	Facility		$241.86	$725.71	$738.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.48 / $962.65 / $1,346.94	Professional		$671.48	$962.65	$1,346.94
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 $605.85 / $890.09 / $1,306.47	Professional		$605.85	$890.09	$1,306.47
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 $637.55 / $820.93 / $1,524.83	Professional		$637.55	$820.93	$1,524.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $440.32 / $443.92 / $592.25	Professional		$440.32	$443.92	$592.25