Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.58 / $3,810.00 / $18,711.00	Facility		$800.58	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.38 / $727.80 / $1,948.00	Professional		$505.38	$727.80	$1,948.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.10 / $4,554.63 / $11,500.00	Facility		$1,737.10	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $839.48 / $1,374.27 / $5,267.40	Professional		$839.48	$1,374.27	$5,267.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.23 / $1,075.69 / $1,833.43	Professional		$579.23	$1,075.69	$1,833.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $582.46 / $1,167.72 / $1,852.50	Facility		$582.46	$1,167.72	$1,852.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.92 / $1,114.43 / $1,694.42	Professional		$531.92	$1,114.43	$1,694.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $372.66 / $1,216.81	Professional		$78.68	$372.66	$1,216.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $766.38 / $1,054.02 / $1,212.03	Facility		$766.38	$1,054.02	$1,212.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $764.21 / $1,613.81	Facility		$537.44	$764.21	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.95 / $1,306.85 / $1,640.94	Professional		$916.95	$1,306.85	$1,640.94
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 $779.39 / $1,160.65 / $1,566.59	Professional		$779.39	$1,160.65	$1,566.59
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 $684.85 / $934.61 / $1,723.43	Professional		$684.85	$934.61	$1,723.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $504.10 / $504.10 / $661.80	Professional		$504.10	$504.10	$661.80