Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.74 / $1,242.99 / $17,100.00	Facility		$609.74	$1,242.99	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $492.01 / $1,214.39	Professional		$262.29	$492.01	$1,214.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,557.32 / $4,591.92 / $11,500.00	Facility		$1,557.32	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $553.17 / $999.61 / $3,804.40	Professional		$553.17	$999.61	$3,804.40
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 $390.22 / $717.44 / $1,461.79	Professional		$390.22	$717.44	$1,461.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $313.41 / $707.98 / $1,342.84	Facility		$313.41	$707.98	$1,342.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $702.28 / $1,266.88	Professional		$313.95	$702.28	$1,266.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $532.43 / $1,149.54	Professional		$45.89	$532.43	$1,149.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $470.52 / $894.33 / $1,043.19	Facility		$470.52	$894.33	$1,043.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $710.76 / $1,323.75	Facility		$440.84	$710.76	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.82 / $841.05 / $1,296.93	Professional		$556.82	$841.05	$1,296.93
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 $528.91 / $799.52 / $1,254.95	Professional		$528.91	$799.52	$1,254.95
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 $441.43 / $834.62 / $1,502.31	Professional		$441.43	$834.62	$1,502.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.30 / $426.52 / $575.03	Professional		$364.30	$426.52	$575.03