Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.27 / $1,422.70 / $14,464.32	Facility		$733.27	$1,422.70	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.12 / $733.27 / $1,492.68	Professional		$497.12	$733.27	$1,492.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,159.36 / $4,554.63 / $11,500.00	Facility		$1,159.36	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $783.52 / $1,236.54 / $4,576.20	Professional		$783.52	$1,236.54	$4,576.20
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 $550.41 / $998.65 / $1,736.72	Professional		$550.41	$998.65	$1,736.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $506.54 / $1,027.98 / $1,528.97	Facility		$506.54	$1,027.98	$1,528.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.54 / $1,012.32 / $1,499.41	Professional		$506.54	$1,012.32	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $317.53 / $1,135.45	Professional		$77.42	$317.53	$1,135.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.94 / $1,039.17 / $1,157.08	Facility		$751.94	$1,039.17	$1,157.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $756.96 / $1,613.81	Facility		$537.44	$756.96	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.24 / $1,181.27 / $1,463.01	Professional		$789.24	$1,181.27	$1,463.01
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 $760.06 / $1,064.58 / $1,424.43	Professional		$760.06	$1,064.58	$1,424.43
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.72 / $889.83 / $1,616.90	Professional		$655.72	$889.83	$1,616.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.74 / $578.33 / $639.50	Professional		$481.74	$578.33	$639.50