Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.10 / $4,990.07 / $13,750.00	Facility		$294.10	$4,990.07	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $2,373.01 / $6,640.12	Professional		$212.75	$2,373.01	$6,640.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,187.99 / $18,664.91	Facility		$55.00	$4,187.99	$18,664.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $5,223.72 / $10,669.73	Professional		$368.12	$5,223.72	$10,669.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $811.31 / $8,880.81	Professional		$286.55	$811.31	$8,880.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $3,542.56 / $10,117.79	Facility		$257.52	$3,542.56	$10,117.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.47 / $3,542.56 / $10,115.27	Professional		$259.47	$3,542.56	$10,115.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $747.06 / $4,162.98 / $7,396.38	Professional		$747.06	$4,162.98	$7,396.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.18 / $5,411.04 / $8,246.45	Facility		$438.18	$5,411.04	$8,246.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.34 / $3,939.34 / $4,187.99	Facility		$3,939.34	$3,939.34	$4,187.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $717.18 / $7,493.27	Professional		$362.25	$717.18	$7,493.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.87 / $705.43 / $7,337.12	Professional		$347.87	$705.43	$7,337.12
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,222.79 / $6,295.14 / $9,942.60	Professional		$4,222.79	$6,295.14	$9,942.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.32 / $2,267.35 / $3,208.68	Professional		$223.32	$2,267.35	$3,208.68