Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,199.36 / $13,809.00	Facility		$585.00	$1,199.36	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $510.20 / $1,152.47	Professional		$292.30	$510.20	$1,152.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.04 / $4,594.55 / $11,500.00	Facility		$1,492.04	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $553.96 / $970.30 / $4,410.89	Professional		$553.96	$970.30	$4,410.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.95 / $703.82 / $1,419.58	Professional		$397.95	$703.82	$1,419.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $381.71 / $733.92 / $1,311.34	Facility		$381.71	$733.92	$1,311.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.71 / $727.84 / $1,266.88	Professional		$381.71	$727.84	$1,266.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $294.87 / $1,002.90	Professional		$39.65	$294.87	$1,002.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.21 / $868.32 / $1,013.71	Facility		$556.21	$868.32	$1,013.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $689.92 / $1,323.75	Facility		$440.84	$689.92	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.41 / $804.17 / $1,262.75	Professional		$532.41	$804.17	$1,262.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,594.55 / $8,788.86	Facility		$3,509.52	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $506.78 / $762.31 / $1,215.71	Professional		$506.78	$762.31	$1,215.71
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 $557.60 / $776.05 / $1,423.10	Professional		$557.60	$776.05	$1,423.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.84 / $412.72 / $557.21	Professional		$348.84	$412.72	$557.21