Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.95 / $4,500.00 / $18,800.00	Facility		$827.95	$4,500.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $574.82 / $1,712.01	Professional		$379.91	$574.82	$1,712.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $637.60 / $1,018.08 / $4,047.02	Professional		$637.60	$1,018.08	$4,047.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.89 / $807.28 / $1,376.73	Professional		$460.89	$807.28	$1,376.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $463.71 / $941.20 / $1,741.30	Facility		$463.71	$941.20	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $902.67 / $1,499.41	Professional		$427.42	$902.67	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $286.82 / $899.63	Professional		$73.20	$286.82	$899.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $844.87 / $909.19	Facility		$620.00	$844.87	$909.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $597.51 / $1,613.81	Facility		$537.44	$597.51	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.46 / $986.54 / $1,230.93	Professional		$687.46	$986.54	$1,230.93
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 $609.38 / $882.70 / $1,175.16	Professional		$609.38	$882.70	$1,175.16
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 $545.38 / $735.90 / $1,291.83	Professional		$545.38	$735.90	$1,291.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.49 / $378.49 / $497.55	Professional		$378.49	$378.49	$497.55