Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.46 / $4,011.00 / $18,711.00	Facility		$879.46	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.92 / $613.07 / $1,282.74	Professional		$466.92	$613.07	$1,282.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $662.19 / $7,547.82 / $15,403.47	Facility		$662.19	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $681.61 / $1,100.43 / $4,217.18	Professional		$681.61	$1,100.43	$4,217.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.17 / $861.48 / $1,467.17	Professional		$487.17	$861.48	$1,467.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $483.36 / $1,016.96 / $2,421.55	Facility		$483.36	$1,016.96	$2,421.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.25 / $978.16 / $2,149.79	Professional		$477.25	$978.16	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.95 / $949.93	Professional		$73.20	$287.95	$949.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.55 / $892.31 / $970.83	Facility		$637.55	$892.31	$970.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.28 / $662.19 / $2,218.36	Facility		$638.28	$662.19	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.10 / $1,053.42 / $1,314.39	Professional		$735.10	$1,053.42	$1,314.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $650.96 / $942.55 / $1,254.83	Professional		$650.96	$942.55	$1,254.83
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.04 / $748.72 / $1,343.02	Professional		$574.04	$748.72	$1,343.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.99 / $404.99 / $529.85	Professional		$404.99	$404.99	$529.85