Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $1,182.05 / $17,100.00	Facility		$611.41	$1,182.05	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.55 / $611.41 / $1,239.05	Professional		$408.55	$611.41	$1,239.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $725.75 / $4,554.63 / $11,500.00	Facility		$725.75	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $642.64 / $1,029.59 / $3,823.88	Professional		$642.64	$1,029.59	$3,823.88
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 $455.28 / $834.89 / $1,449.27	Professional		$455.28	$834.89	$1,449.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $419.74 / $853.92 / $1,472.45	Facility		$419.74	$853.92	$1,472.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.74 / $844.41 / $1,365.14	Professional		$419.74	$844.41	$1,365.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $284.75 / $982.27	Professional		$39.53	$284.75	$982.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $622.10 / $860.28 / $964.80	Facility		$622.10	$860.28	$964.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $630.12 / $1,613.81	Facility		$537.44	$630.12	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.08 / $983.84 / $1,216.81	Professional		$658.08	$983.84	$1,216.81
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 $634.84 / $886.82 / $1,187.71	Professional		$634.84	$886.82	$1,187.71
United Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $5,724.01 / $9,155.68	Facility		$546.00	$5,724.01	$9,155.68
United Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $751.83 / $1,347.10	Professional		$540.79	$751.83	$1,347.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $484.26 / $534.38	Professional		$401.40	$484.26	$534.38