Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.94 / $5,115.32 / $22,024.00	Facility		$540.94	$5,115.32	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $543.22 / $1,203.64	Professional		$377.68	$543.22	$1,203.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $572.59 / $4,318.66 / $8,788.86	Facility		$572.59	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $228.94 / $380.79 / $380.79	Facility	AS	$228.94	$380.79	$380.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $607.29 / $982.61 / $3,764.40	Professional		$607.29	$982.61	$3,764.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,000.00	Facility		$714.97	$870.49	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.63 / $765.06 / $1,301.16	Professional		$431.63	$765.06	$1,301.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $456.44 / $904.37 / $1,471.24	Facility		$456.44	$904.37	$1,471.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.41 / $894.64 / $1,322.32	Professional		$436.41	$894.64	$1,322.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $418.19 / $924.51	Professional		$77.12	$418.19	$924.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.73 / $820.75 / $864.97	Facility		$625.73	$820.75	$864.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $572.59 / $1,323.75	Facility		$440.84	$572.59	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $938.56 / $1,171.07	Professional		$656.12	$938.56	$1,171.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,594.55 / $8,788.86	Facility		$3,509.52	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $583.97 / $839.77 / $1,118.01	Professional		$583.97	$839.77	$1,118.01
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 $514.50 / $698.25 / $1,232.95	Professional		$514.50	$698.25	$1,232.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $359.44 / $464.89	Professional		$359.44	$359.44	$464.89