Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.30 / $5,128.00 / $20,680.40	Facility		$942.30	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.05 / $648.67 / $1,587.48	Professional		$471.05	$648.67	$1,587.48
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 $724.89 / $1,181.09 / $4,485.83	Professional		$724.89	$1,181.09	$4,485.83
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 $519.66 / $918.78 / $1,561.56	Professional		$519.66	$918.78	$1,561.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $531.57 / $1,093.55 / $3,280.24	Facility		$531.57	$1,093.55	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $1,036.75 / $2,824.57	Professional		$483.60	$1,036.75	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.93 / $998.62	Professional		$76.14	$299.93	$998.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $710.03 / $946.85 / $1,032.47	Facility		$710.03	$946.85	$1,032.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.41 / $704.24 / $2,961.46	Facility		$680.41	$704.24	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.39 / $1,120.31 / $1,397.84	Professional		$783.39	$1,120.31	$1,397.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $693.92 / $1,002.39 / $1,342.00	Professional		$693.92	$1,002.39	$1,342.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.17 / $800.24 / $1,472.39	Professional		$600.17	$800.24	$1,472.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $429.56 / $563.41	Professional		$429.56	$429.56	$563.41