Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.96 / $1,393.49 / $17,100.00	Facility		$634.96	$1,393.49	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.62 / $532.17 / $1,206.42	Professional		$387.62	$532.17	$1,206.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $621.52 / $15,555.67 / $31,745.76	Facility		$621.52	$15,555.67	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $611.24 / $943.25 / $3,427.04	Professional		$611.24	$943.25	$3,427.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.71 / $765.00 / $870.49	Facility		$649.71	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $789.75 / $1,310.61	Professional		$460.45	$789.75	$1,310.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $437.74 / $789.38 / $1,310.18	Facility		$437.74	$789.38	$1,310.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.74 / $787.50 / $1,208.85	Professional		$437.74	$787.50	$1,208.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $273.84 / $914.66	Professional		$39.46	$273.84	$914.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.44 / $910.72 / $1,002.32	Facility		$679.44	$910.72	$1,002.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $621.52 / $630.57	Facility		$210.00	$621.52	$630.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.44 / $852.55 / $1,153.51	Professional		$602.44	$852.55	$1,153.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $538.78 / $803.86 / $1,135.75	Professional		$538.78	$803.86	$1,135.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $4,818.00 / $10,522.00	Facility		$1,547.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.13 / $801.99 / $1,384.26	Professional		$582.13	$801.99	$1,384.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.46 / $400.83 / $514.09	Professional		$383.46	$400.83	$514.09