Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.57 / $4,011.00 / $18,711.00	Facility		$693.57	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.97 / $480.49 / $1,029.90	Professional		$374.97	$480.49	$1,029.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $852.21 / $3,304.20	Professional		$533.90	$852.21	$3,304.20
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 $380.70 / $676.26 / $1,152.68	Professional		$380.70	$676.26	$1,152.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $374.75 / $772.18 / $1,741.30	Facility		$374.75	$772.18	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $746.66 / $1,499.41	Professional		$357.63	$746.66	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.62 / $208.60 / $733.30	Professional		$38.62	$208.60	$733.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $690.77 / $760.45	Facility		$503.40	$690.77	$760.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.66 / $518.70 / $1,613.81	Facility		$499.66	$518.70	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.46 / $825.15 / $1,029.56	Professional		$575.46	$825.15	$1,029.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $509.59 / $738.29 / $982.91	Professional		$509.59	$738.29	$982.91
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 $423.78 / $585.21 / $1,081.36	Professional		$423.78	$585.21	$1,081.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $316.64 / $417.92	Professional		$316.64	$316.64	$417.92