Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.94 / $1,230.30 / $17,100.00	Facility		$650.94	$1,230.30	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.02 / $650.94 / $1,252.50	Professional		$421.02	$650.94	$1,252.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,160.88 / $4,554.63 / $11,500.00	Facility		$1,160.88	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $682.37 / $1,095.38 / $4,035.45	Professional		$682.37	$1,095.38	$4,035.45
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 $481.78 / $883.13 / $1,545.06	Professional		$481.78	$883.13	$1,545.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $456.32 / $888.52 / $1,472.45	Facility		$456.32	$888.52	$1,472.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.06 / $876.64 / $1,457.75	Professional		$442.06	$876.64	$1,457.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $298.15 / $1,058.28	Professional		$39.53	$298.15	$1,058.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.42 / $909.19 / $1,026.44	Facility		$640.42	$909.19	$1,026.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $669.08 / $1,613.81	Facility		$537.44	$669.08	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.12 / $1,037.86 / $1,288.55	Professional		$700.12	$1,037.86	$1,288.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $670.13 / $941.85 / $1,263.58	Professional		$670.13	$941.85	$1,263.58
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.25 / $805.61 / $1,454.04	Professional		$576.25	$805.61	$1,454.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $514.32 / $571.94	Professional		$427.35	$514.32	$571.94