Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.74 / $5,128.00 / $20,680.40	Facility		$752.74	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.34 / $528.00 / $1,097.91	Professional		$352.34	$528.00	$1,097.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.10 / $4,554.63 / $11,500.00	Facility		$1,737.10	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $585.40 / $956.00 / $3,633.30	Professional		$585.40	$956.00	$3,633.30
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 $420.34 / $742.33 / $1,266.96	Professional		$420.34	$742.33	$1,266.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $386.88 / $835.92 / $1,741.30	Facility		$386.88	$835.92	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.88 / $804.21 / $1,499.41	Professional		$386.88	$804.21	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $219.60 / $835.32	Professional		$38.57	$219.60	$835.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $536.90 / $766.91 / $836.16	Facility		$536.90	$766.91	$836.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $548.58 / $1,613.81	Facility		$537.44	$548.58	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.85 / $907.30 / $1,132.06	Professional		$631.85	$907.30	$1,132.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $559.48 / $811.80 / $1,080.77	Professional		$559.48	$811.80	$1,080.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.46 / $676.50 / $1,163.22	Professional		$467.46	$676.50	$1,163.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $348.39 / $459.25	Professional		$348.39	$348.39	$459.25