Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.07 / $4,011.00 / $18,711.00	Facility		$844.07	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $583.29 / $1,247.34	Professional		$401.81	$583.29	$1,247.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,431.46 / $9,172.83 / $17,546.59	Facility		$2,431.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $1,038.38 / $3,990.00	Professional		$648.21	$1,038.38	$3,990.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.21 / $823.00 / $1,402.55	Professional		$460.21	$823.00	$1,402.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $452.83 / $929.86 / $3,280.24	Facility		$452.83	$929.86	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.25 / $912.05 / $2,824.57	Professional		$425.25	$912.05	$2,824.57
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 $615.92 / $842.19 / $923.26	Facility		$615.92	$842.19	$923.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.66 / $629.75 / $2,961.46	Facility		$605.66	$629.75	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.63 / $1,001.81 / $1,249.98	Professional		$698.63	$1,001.81	$1,249.98
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 $617.69 / $896.37 / $1,196.80	Professional		$617.69	$896.37	$1,196.80
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $2,769.18 / $6,857.00	Facility		$702.00	$2,769.18	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.82 / $711.76 / $1,261.98	Professional		$533.82	$711.76	$1,261.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $384.84 / $509.14	Professional		$384.84	$384.84	$509.14