Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.35 / $5,128.00 / $20,680.40	Facility		$882.35	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $612.33 / $1,324.04	Professional		$401.88	$612.33	$1,324.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,929.39 / $5,167.93 / $11,500.00	Facility		$1,929.39	$5,167.93	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $680.67 / $1,094.93 / $4,214.78	Professional		$680.67	$1,094.93	$4,214.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,323.83	Facility		$714.97	$870.49	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.97 / $860.32 / $1,466.72	Professional		$494.97	$860.32	$1,466.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $451.85 / $976.16 / $2,037.92	Facility		$451.85	$976.16	$2,037.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.85 / $943.42 / $1,754.83	Professional		$451.85	$943.42	$1,754.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $288.03 / $977.02	Professional		$73.20	$288.03	$977.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $646.80 / $894.45 / $969.49	Facility		$646.80	$894.45	$969.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.47 / $642.54 / $1,929.39	Facility		$636.47	$642.54	$1,929.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.19 / $1,051.97 / $1,312.57	Professional		$733.19	$1,051.97	$1,312.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $649.11 / $941.24 / $1,253.09	Professional		$649.11	$941.24	$1,253.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $6,542.39 / $10,464.70	Facility		$1,436.00	$6,542.39	$10,464.70
United Facility/Professional Professional Modifier Low / Median / High Price $540.40 / $781.96 / $1,377.77	Professional		$540.40	$781.96	$1,377.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $402.50 / $528.85	Professional		$402.50	$402.50	$528.85