Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.76 / $1,561.31 / $17,100.00	Facility		$687.76	$1,561.31	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.95 / $744.04 / $1,455.87	Professional		$381.95	$744.04	$1,455.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,907.12 / $8,052.47 / $16,394.00	Facility		$1,907.12	$8,052.47	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $648.67 / $1,153.99 / $4,568.80	Professional		$648.67	$1,153.99	$4,568.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,846.84	Facility		$625.25	$761.81	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.91 / $846.38 / $1,710.66	Professional		$463.91	$846.38	$1,710.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.03 / $839.25 / $2,136.38	Facility		$444.03	$839.25	$2,136.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.03 / $833.91 / $1,767.18	Professional		$444.03	$833.91	$1,767.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $374.65 / $1,249.92	Professional		$42.71	$374.65	$1,249.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $635.55 / $1,047.21 / $1,250.89	Facility		$635.55	$1,047.21	$1,250.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $746.54 / $2,218.36	Facility		$738.78	$746.54	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.82 / $939.36 / $1,440.00	Professional		$619.82	$939.36	$1,440.00
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 $594.61 / $902.69 / $1,373.56	Professional		$594.61	$902.69	$1,373.56
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 $677.25 / $913.50 / $1,601.77	Professional		$677.25	$913.50	$1,601.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $514.04 / $696.37	Professional		$450.91	$514.04	$696.37