Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.50 / $1,691.04 / $18,711.00	Facility		$822.50	$1,691.04	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.37 / $822.50 / $1,691.04	Professional		$503.37	$822.50	$1,691.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.42 / $1,619.29 / $11,500.00	Facility		$810.42	$1,619.29	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $1,248.77 / $4,385.92	Professional		$785.24	$1,248.77	$4,385.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.73 / $765.00 / $870.49	Facility		$646.73	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.21 / $991.13 / $1,732.86	Professional		$541.21	$991.13	$1,732.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $461.90 / $886.64 / $1,519.43	Facility		$461.90	$886.64	$1,519.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.59 / $885.08 / $1,463.00	Professional		$479.59	$885.08	$1,463.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $357.09 / $1,190.51	Professional		$42.27	$357.09	$1,190.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $1,101.48 / $1,190.58	Facility		$712.50	$1,101.48	$1,190.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.32 / $809.80 / $810.42	Facility		$227.32	$809.80	$810.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.31 / $1,133.99 / $1,484.40	Professional		$789.31	$1,133.99	$1,484.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,549.85 / $2,982.61	Facility		$1,011.08	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $702.54 / $1,058.57 / $1,469.22	Professional		$702.54	$1,058.57	$1,469.22
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.60 / $889.07 / $1,690.99	Professional		$657.60	$889.07	$1,690.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $544.72 / $673.37	Professional		$488.92	$544.72	$673.37