Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.29 / $7,466.88 / $18,711.00	Facility		$622.29	$7,466.88	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.70 / $592.66 / $1,344.45	Professional		$432.70	$592.66	$1,344.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $650.30 / $7,547.82 / $15,403.47	Facility		$650.30	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $669.38 / $1,086.33 / $4,170.68	Professional		$669.38	$1,086.33	$4,170.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.29 / $841.64 / $1,427.02	Professional		$476.29	$841.64	$1,427.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $503.34 / $1,028.56 / $2,496.58	Facility		$503.34	$1,028.56	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.26 / $994.56 / $2,149.79	Professional		$481.26	$994.56	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $454.58 / $993.78	Professional		$80.58	$454.58	$993.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $664.44 / $908.52 / $953.41	Facility		$664.44	$908.52	$953.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.75 / $650.30 / $2,218.36	Facility		$633.75	$650.30	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.97 / $1,035.26 / $1,290.80	Professional		$724.97	$1,035.26	$1,290.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $646.34 / $925.64 / $1,232.32	Professional		$646.34	$925.64	$1,232.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,539.53 / $10,522.00	Facility		$1,547.00	$2,539.53	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.52 / $768.99 / $1,362.33	Professional		$583.52	$768.99	$1,362.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.88 / $395.88 / $507.04	Professional		$395.88	$395.88	$507.04