Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.05 / $1,403.36 / $17,100.00	Facility		$644.05	$1,403.36	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.15 / $634.79 / $1,371.34	Professional		$371.15	$634.79	$1,371.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,560.73 / $9,118.81 / $17,453.22	Facility		$2,560.73	$9,118.81	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $616.39 / $955.93 / $3,461.44	Professional		$616.39	$955.93	$3,461.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.42 / $796.13 / $1,324.83	Professional		$463.42	$796.13	$1,324.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $484.00 / $876.70 / $2,478.65	Facility		$484.00	$876.70	$2,478.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.90 / $870.09 / $1,607.59	Professional		$476.90	$870.09	$1,607.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $273.26 / $937.91	Professional		$39.46	$273.26	$937.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.61 / $919.30 / $1,009.02	Facility		$617.61	$919.30	$1,009.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.58 / $635.69 / $2,412.73	Facility		$630.58	$635.69	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.55 / $859.68 / $1,165.24	Professional		$608.55	$859.68	$1,165.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.64 / $812.03 / $1,147.30	Professional		$546.64	$812.03	$1,147.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $767.25 / $1,361.28	Professional		$588.04	$767.25	$1,361.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $387.05 / $402.41 / $519.22	Professional		$387.05	$402.41	$519.22