Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.65 / $2,769.52 / $18,711.00	Facility		$998.65	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.29 / $692.71 / $1,501.49	Professional		$531.29	$692.71	$1,501.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,589.03 / $11,500.00	Facility		$2,701.16	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $769.57 / $1,230.38 / $4,761.75	Professional		$769.57	$1,230.38	$4,761.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.10 / $973.71 / $1,656.50	Professional		$557.10	$973.71	$1,656.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $556.79 / $1,124.06 / $1,781.75	Facility		$556.79	$1,124.06	$1,781.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.21 / $1,085.01 / $1,621.64	Professional		$512.21	$1,085.01	$1,621.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $317.80 / $1,082.01	Professional		$77.42	$317.80	$1,082.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $736.44 / $1,018.40 / $1,096.11	Facility		$736.44	$1,018.40	$1,096.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $723.44 / $1,613.81	Facility		$537.44	$723.44	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.81 / $1,189.36 / $1,484.02	Professional		$830.81	$1,189.36	$1,484.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,712.50	Facility		$3,434.81	$4,589.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $737.81 / $1,064.18 / $1,416.78	Professional		$737.81	$1,064.18	$1,416.78
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 $653.12 / $889.13 / $1,561.23	Professional		$653.12	$889.13	$1,561.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.06 / $456.06 / $596.66	Professional		$456.06	$456.06	$596.66