Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.63 / $6,975.09 / $17,930.00	Facility		$588.63	$6,975.09	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $549.54 / $1,184.97	Professional		$388.08	$549.54	$1,184.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $568.05 / $4,318.66 / $8,788.86	Facility		$568.05	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $228.94 / $380.79 / $380.79	Facility	AS	$228.94	$380.79	$380.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $600.23 / $943.46 / $3,734.25	Professional		$600.23	$943.46	$3,734.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,000.00	Facility		$714.97	$870.49	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $755.29 / $1,282.83	Professional		$423.60	$755.29	$1,282.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $448.28 / $890.27 / $1,471.24	Facility		$448.28	$890.27	$1,471.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $878.65 / $1,301.56	Professional		$428.61	$878.65	$1,301.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $438.53 / $947.87	Professional		$80.58	$438.53	$947.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.50 / $814.05 / $854.92	Facility		$594.50	$814.05	$854.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $568.05 / $1,323.75	Facility		$440.84	$568.05	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.92 / $927.96 / $1,157.46	Professional		$648.92	$927.96	$1,157.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,594.55 / $8,788.86	Facility		$3,509.52	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $579.35 / $830.01 / $1,105.02	Professional		$579.35	$830.01	$1,105.02
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 $509.70 / $680.40 / $1,219.44	Professional		$509.70	$680.40	$1,219.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $355.57 / $458.18	Professional		$355.57	$355.57	$458.18