Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.40 / $2,769.52 / $18,711.00	Facility		$788.40	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.56 / $546.77 / $1,177.01	Professional		$410.56	$546.77	$1,177.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $608.23 / $995.45 / $3,765.75	Professional		$608.23	$995.45	$3,765.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.05 / $768.72 / $1,311.05	Professional		$437.05	$768.72	$1,311.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $428.47 / $879.23 / $3,280.24	Facility		$428.47	$879.23	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $867.82 / $2,824.57	Professional		$403.20	$867.82	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $405.98 / $896.83	Professional		$75.53	$405.98	$896.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.10 / $795.29 / $866.31	Facility		$575.10	$795.29	$866.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $590.90 / $2,961.46	Facility		$568.52	$590.90	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.10 / $940.01 / $1,172.88	Professional		$655.10	$940.01	$1,172.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $579.80 / $841.07 / $1,122.00	Professional		$579.80	$841.07	$1,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.50 / $662.75 / $1,231.01	Professional		$511.50	$662.75	$1,231.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.99 / $359.99 / $473.34	Professional		$359.99	$359.99	$473.34