Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.25 / $1,475.25 / $13,809.00	Facility		$624.25	$1,475.25	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $501.44 / $1,173.85	Professional		$298.89	$501.44	$1,173.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.36 / $8,052.47 / $16,394.00	Facility		$2,218.36	$8,052.47	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $961.60 / $3,611.28	Professional		$569.79	$961.60	$3,611.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,846.84	Facility		$625.25	$761.81	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.16 / $729.75 / $1,381.62	Professional		$387.16	$729.75	$1,381.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $393.96 / $744.39 / $2,136.38	Facility		$393.96	$744.39	$2,136.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.96 / $708.21 / $1,579.00	Professional		$393.96	$708.21	$1,579.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $292.78 / $1,002.90	Professional		$39.53	$292.78	$1,002.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $538.78 / $864.97 / $988.92	Facility		$538.78	$864.97	$988.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.47 / $674.53 / $2,218.36	Facility		$660.47	$674.53	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.91 / $838.48 / $1,226.08	Professional		$561.91	$838.48	$1,226.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $533.88 / $787.00 / $1,171.23	Professional		$533.88	$787.00	$1,171.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $765.50 / $1,367.49	Professional		$540.00	$765.50	$1,367.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.31 / $406.93 / $549.16	Professional		$376.31	$406.93	$549.16