Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.54 / $5,128.00 / $20,680.40	Facility		$841.54	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.94 / $607.30 / $1,271.56	Professional		$422.94	$607.30	$1,271.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $629.75 / $994.16 / $4,139.31	Professional		$629.75	$994.16	$4,139.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $820.52 / $1,397.87	Professional		$470.42	$820.52	$1,397.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $482.88 / $985.70 / $3,280.24	Facility		$482.88	$985.70	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.09 / $933.80 / $2,824.57	Professional		$441.09	$933.80	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.29 / $917.26	Professional		$73.20	$287.29	$917.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $651.21 / $859.61 / $923.26	Facility		$651.21	$859.61	$923.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $629.75 / $2,961.46	Facility		$606.11	$629.75	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.77 / $1,001.81 / $1,249.98	Professional		$698.77	$1,001.81	$1,249.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $618.16 / $896.37 / $1,196.80	Professional		$618.16	$896.37	$1,196.80
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 $558.04 / $755.76 / $1,313.09	Professional		$558.04	$755.76	$1,313.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $384.01 / $504.17	Professional		$384.01	$384.01	$504.17