Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.08 / $5,128.00 / $20,680.40	Facility		$882.08	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.98 / $611.27 / $1,227.34	Professional		$394.98	$611.27	$1,227.34
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 $678.69 / $1,085.04 / $4,709.89	Professional		$678.69	$1,085.04	$4,709.89
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 $466.81 / $860.04 / $1,463.68	Professional		$466.81	$860.04	$1,463.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $479.37 / $980.91 / $3,280.24	Facility		$479.37	$980.91	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.90 / $955.55 / $2,824.57	Professional		$445.90	$955.55	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.23 / $938.00	Professional		$73.20	$287.23	$938.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $648.76 / $886.41 / $966.81	Facility		$648.76	$886.41	$966.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.01 / $659.45 / $2,961.46	Facility		$636.01	$659.45	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.68 / $1,049.06 / $1,308.95	Professional		$732.68	$1,049.06	$1,308.95
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 $648.65 / $938.65 / $1,254.88	Professional		$648.65	$938.65	$1,254.88
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 $566.28 / $779.80 / $1,376.80	Professional		$566.28	$779.80	$1,376.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.96 / $401.96 / $528.91	Professional		$401.96	$401.96	$528.91