Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.72 / $1,604.04 / $14,464.32	Facility		$815.72	$1,604.04	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.52 / $811.79 / $1,635.42	Professional		$527.52	$811.79	$1,635.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,534.04 / $4,554.63 / $11,500.00	Facility		$1,534.04	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $856.55 / $1,382.38 / $5,145.97	Professional		$856.55	$1,382.38	$5,145.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.49 / $1,121.46 / $1,935.76	Professional		$618.49	$1,121.46	$1,935.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $1,176.85 / $1,600.13	Facility		$592.54	$1,176.85	$1,600.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.42 / $1,162.33 / $1,600.13	Professional		$586.42	$1,162.33	$1,600.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $338.76 / $1,273.65	Professional		$77.58	$338.76	$1,273.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $841.44 / $1,173.17 / $1,291.76	Facility		$841.44	$1,173.17	$1,291.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $839.86 / $1,613.81	Facility		$537.44	$839.86	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.10 / $1,321.68 / $1,634.82	Professional		$881.10	$1,321.68	$1,634.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $854.83 / $1,184.76 / $1,590.21	Professional		$854.83	$1,184.76	$1,590.21
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $666.00 / $5,793.00	Facility		$157.00	$666.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.88 / $1,041.14 / $1,827.68	Professional		$750.88	$1,041.14	$1,827.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $536.40 / $645.58 / $708.72	Professional		$536.40	$645.58	$708.72