Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.45 / $2,199.37 / $17,100.00	Facility		$663.45	$2,199.37	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.57 / $801.39 / $1,986.47	Professional		$367.57	$801.39	$1,986.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,523.90 / $16,227.47 / $31,745.76	Facility		$2,523.90	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $623.50 / $1,190.32 / $4,610.24	Professional		$623.50	$1,190.32	$4,610.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.02 / $945.78 / $1,803.39	Professional		$488.02	$945.78	$1,803.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $466.43 / $898.46 / $5,185.60	Facility		$466.43	$898.46	$5,185.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.43 / $894.44 / $2,997.94	Professional		$466.43	$894.44	$2,997.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $361.37 / $1,253.06	Professional		$42.44	$361.37	$1,253.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.12 / $1,229.43 / $1,601.30	Facility		$718.12	$1,229.43	$1,601.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.13 / $849.56 / $5,317.93	Facility		$842.13	$849.56	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.29 / $924.57 / $1,549.48	Professional		$590.29	$924.57	$1,549.48
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 $564.73 / $878.14 / $1,533.30	Professional		$564.73	$878.14	$1,533.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.48 / $1,216.33 / $1,818.25	Professional		$795.48	$1,216.33	$1,818.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.92 / $516.52 / $705.57	Professional		$400.92	$516.52	$705.57