Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.18 / $6,470.00 / $18,800.00	Facility		$662.18	$6,470.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $458.83 / $965.83	Professional		$285.41	$458.83	$965.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,554.63 / $11,500.00	Facility		$2,701.16	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $513.67 / $823.29 / $4,765.06	Professional		$513.67	$823.29	$4,765.06
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 $367.04 / $647.50 / $1,098.51	Professional		$367.04	$647.50	$1,098.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $350.23 / $739.03 / $1,741.30	Facility		$350.23	$739.03	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.25 / $730.10 / $1,499.41	Professional		$348.25	$730.10	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $436.95 / $846.53	Professional		$57.35	$436.95	$846.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $669.11 / $731.64	Facility		$477.75	$669.11	$731.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.26 / $499.04 / $1,613.81	Facility		$484.26	$499.04	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.92 / $793.88 / $990.55	Professional		$555.92	$793.88	$990.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $493.88 / $712.22 / $945.67	Professional		$493.88	$712.22	$945.67
United Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $1,075.00 / $4,611.00	Facility		$370.00	$1,075.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.04 / $574.21 / $1,033.57	Professional		$428.04	$574.21	$1,033.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.67 / $303.67 / $390.11	Professional		$303.67	$303.67	$390.11