Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $6,072.60 / $18,711.00	Facility		$699.00	$6,072.60	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $583.90 / $1,415.34	Professional		$380.62	$583.90	$1,415.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,730.13 / $11,500.00	Facility		$2,701.16	$4,730.13	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $644.86 / $1,036.34 / $4,370.21	Professional		$644.86	$1,036.34	$4,370.21
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 $451.58 / $823.15 / $1,400.37	Professional		$451.58	$823.15	$1,400.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $461.10 / $938.32 / $1,741.30	Facility		$461.10	$938.32	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.98 / $906.14 / $1,499.41	Professional		$428.98	$906.14	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.23 / $917.62	Professional		$73.20	$287.23	$917.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $623.28 / $847.55 / $923.26	Facility		$623.28	$847.55	$923.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $604.29 / $1,613.81	Facility		$537.44	$604.29	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.80 / $1,001.81 / $1,249.98	Professional		$699.80	$1,001.81	$1,249.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.30 / $896.37 / $1,193.34	Professional		$616.30	$896.37	$1,193.34
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 $536.77 / $677.35 / $1,293.33	Professional		$536.77	$677.35	$1,293.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.28 / $384.28 / $507.11	Professional		$384.28	$384.28	$507.11