Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.24 / $6,470.00 / $24,827.00	Facility		$856.24	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.28 / $593.65 / $1,266.19	Professional		$428.28	$593.65	$1,266.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,303.88 / $9,172.83 / $20,286.13	Facility		$3,303.88	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $660.91 / $1,076.00 / $4,092.53	Professional		$660.91	$1,076.00	$4,092.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $3,740.43	Facility		$1,394.89	$1,698.13	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.85 / $834.86 / $1,422.76	Professional		$476.85	$834.86	$1,422.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $476.16 / $969.57 / $3,280.24	Facility		$476.16	$969.57	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.50 / $948.30 / $2,824.57	Professional		$441.50	$948.30	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $288.03 / $950.30	Professional		$73.20	$288.03	$950.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.98 / $861.35 / $941.35	Facility		$637.98	$861.35	$941.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.79 / $642.09 / $2,961.46	Facility		$618.79	$642.09	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.99 / $1,021.44 / $1,274.48	Professional		$711.99	$1,021.44	$1,274.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $631.09 / $913.92 / $1,219.68	Professional		$631.09	$913.92	$1,219.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $815.92 / $1,302.83	Professional		$556.49	$815.92	$1,302.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.63 / $390.63 / $511.88	Professional		$390.63	$390.63	$511.88