Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.91 / $8,445.49 / $18,711.00	Facility		$563.91	$8,445.49	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.61 / $566.54 / $1,802.00	Professional		$381.61	$566.54	$1,802.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $563.02 / $7,547.82 / $15,403.47	Facility		$563.02	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $579.53 / $911.34 / $3,600.45	Professional		$579.53	$911.34	$3,600.45
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 $410.85 / $729.66 / $1,239.63	Professional		$410.85	$729.66	$1,239.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $435.63 / $891.57 / $2,496.58	Facility		$435.63	$891.57	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.52 / $862.07 / $2,149.79	Professional		$416.52	$862.07	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $397.24 / $865.05	Professional		$75.16	$397.24	$865.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $595.35 / $782.56 / $825.44	Facility		$595.35	$782.56	$825.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.58 / $563.02 / $2,218.36	Facility		$548.58	$563.02	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.84 / $896.14 / $1,117.55	Professional		$626.84	$896.14	$1,117.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $559.48 / $801.39 / $1,073.59	Professional		$559.48	$801.39	$1,073.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.86 / $665.77 / $1,161.27	Professional		$503.86	$665.77	$1,161.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.15 / $343.15 / $442.57	Professional		$343.15	$343.15	$442.57