Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.38 / $5,128.00 / $20,680.40	Facility		$765.38	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.44 / $623.07 / $1,300.09	Professional		$418.44	$623.07	$1,300.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $598.80 / $953.00 / $3,543.83	Professional		$598.80	$953.00	$3,543.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.61 / $784.97 / $1,273.24	Professional		$468.61	$784.97	$1,273.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $496.77 / $959.88 / $3,280.24	Facility		$496.77	$959.88	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.49 / $932.90 / $2,824.57	Professional		$452.49	$932.90	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $392.70 / $893.87	Professional		$72.54	$392.70	$893.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $648.27 / $824.91 / $947.92	Facility		$648.27	$824.91	$947.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.63 / $568.04 / $2,961.46	Facility		$562.63	$568.04	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $921.91 / $1,165.06	Professional		$633.00	$921.91	$1,165.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $573.79 / $815.71 / $1,150.56	Professional		$573.79	$815.71	$1,150.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.28 / $733.52 / $1,328.64	Professional		$545.28	$733.52	$1,328.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $348.39 / $455.85	Professional		$348.39	$348.39	$455.85