Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.25 / $4,011.00 / $13,809.00	Facility		$573.25	$4,011.00	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $472.11 / $1,137.26	Professional		$285.54	$472.11	$1,137.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,175.36 / $4,591.92 / $11,500.00	Facility		$2,175.36	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $520.42 / $852.84 / $3,209.36	Professional		$520.42	$852.84	$3,209.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.39 / $668.20 / $1,234.26	Professional		$369.39	$668.20	$1,234.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.38 / $705.17 / $1,291.83	Facility		$371.38	$705.17	$1,291.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.35 / $682.63 / $1,130.32	Professional		$371.35	$682.63	$1,130.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $279.59 / $901.65	Professional		$39.53	$279.59	$901.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $497.70 / $793.95 / $879.04	Facility		$497.70	$793.95	$879.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $592.52 / $1,323.75	Facility		$440.84	$592.52	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.35 / $764.33 / $1,091.89	Professional		$515.35	$764.33	$1,091.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $492.03 / $709.37 / $1,068.23	Professional		$492.03	$709.37	$1,068.23
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 $515.34 / $687.12 / $1,244.49	Professional		$515.34	$687.12	$1,244.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.45 / $360.82 / $483.49	Professional		$339.45	$360.82	$483.49