Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.96 / $5,132.00 / $22,024.00	Facility		$871.96	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $604.34 / $1,312.41	Professional		$435.00	$604.34	$1,312.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,526.72 / $19,913.50 / $38,781.51	Facility		$4,526.72	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $672.20 / $1,083.93 / $4,161.08	Professional		$672.20	$1,083.93	$4,161.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,315.84	Facility		$1,005.16	$1,223.70	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.17 / $850.18 / $1,446.91	Professional		$486.17	$850.18	$1,446.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $458.49 / $967.15 / $6,597.50	Facility		$458.49	$967.15	$6,597.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.25 / $937.46 / $6,279.70	Professional		$446.25	$937.46	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $288.03 / $950.30	Professional		$73.20	$288.03	$950.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $643.41 / $889.76 / $957.43	Facility		$643.41	$889.76	$957.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.66 / $653.04 / $6,526.97	Facility		$629.66	$653.04	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.49 / $1,038.88 / $1,296.25	Professional		$725.49	$1,038.88	$1,296.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $642.17 / $929.54 / $1,242.56	Professional		$642.17	$929.54	$1,242.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $24,764.99 / $40,868.01	Facility		$2,408.00	$24,764.99	$40,868.01
United Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $772.23 / $1,346.03	Professional		$536.00	$772.23	$1,346.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.37 / $398.37 / $521.48	Professional		$398.37	$398.37	$521.48