Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.36 / $3,810.00 / $13,809.00	Facility		$617.36	$3,810.00	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.17 / $578.50 / $1,637.10	Professional		$322.17	$578.50	$1,637.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,559.36 / $4,591.92 / $11,500.00	Facility		$1,559.36	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $572.01 / $1,027.83 / $3,916.72	Professional		$572.01	$1,027.83	$3,916.72
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 $418.10 / $735.96 / $1,510.15	Professional		$418.10	$735.96	$1,510.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $402.62 / $756.14 / $1,391.72	Facility		$402.62	$756.14	$1,391.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $750.42 / $1,292.59	Professional		$402.62	$750.42	$1,292.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $296.13 / $1,065.77	Professional		$39.65	$296.13	$1,065.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.32 / $938.00 / $1,073.33	Facility		$572.32	$938.00	$1,073.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $732.11 / $1,323.75	Facility		$440.84	$732.11	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.95 / $841.89 / $1,342.00	Professional		$557.95	$841.89	$1,342.00
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 $529.42 / $802.82 / $1,297.68	Professional		$529.42	$802.82	$1,297.68
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 $501.91 / $744.00 / $1,469.66	Professional		$501.91	$744.00	$1,469.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $365.82 / $438.68 / $592.34	Professional		$365.82	$438.68	$592.34