Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,311.27 / $18,711.00	Facility		$614.00	$1,311.27	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $699.94 / $1,388.40	Professional		$338.47	$699.94	$1,388.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.96 / $4,321.81 / $11,500.00	Facility		$1,492.96	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $555.62 / $994.41 / $3,776.00	Professional		$555.62	$994.41	$3,776.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,557.08	Facility		$714.97	$870.49	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $743.42 / $1,445.84	Professional		$404.65	$743.42	$1,445.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $373.88 / $716.62 / $1,338.62	Facility		$373.88	$716.62	$1,338.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.88 / $716.62 / $1,271.67	Professional		$373.88	$716.62	$1,271.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $297.32 / $1,067.43	Professional		$39.50	$297.32	$1,067.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.79 / $931.97 / $1,031.13	Facility		$532.79	$931.97	$1,031.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.20 / $689.47 / $1,492.96	Facility		$497.20	$689.47	$1,492.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $832.08 / $1,280.26	Professional		$550.00	$832.08	$1,280.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $488.25 / $788.77 / $1,250.70	Professional		$488.25	$788.77	$1,250.70
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.50 / $844.80 / $1,460.63	Professional		$582.50	$844.80	$1,460.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.13 / $424.59 / $577.91	Professional		$371.13	$424.59	$577.91